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Permit No. . �2.S2.L..�........... <br />CITY ENGINEERS <br />F.VERETT, WASH. <br />The Undersig <br />Hereby applies for permission <br />!�i e c�s <br />�u��diifa �'��>�,;,... {- <br />,; <br />�----- <br />,�PPLICATION FOR DRIVEWAY PERMIT <br />everett <br />Approved By <br />Dote Approved <br />----- J _ _ ' ' <br />At the following bmtion 7�h7-�+ �! �1 � l � —" � --' "�`�� y _ %'U '"" 3�'`.+�`,.r <br />SKETCH <br />IWork to be donel <br />i <br />- � <br />V/ <br />J <br />� <br />c <br />� <br />�a <br />� <br />^° ° <br />A <br />�V <br />I I fQFt����, <br />�- _ _-I__� , <br />The undcrsigned ownen c�reby agrces lo hold and savc harmless the City of <br />Everett from any and all claims for domages Ihat may arise because of Ihe <br />installalion and maintenance of ihe improvemenl hereto opplied for and <br />furlher agrees lo remove some upon notice from Ihe Cily and to reploce all <br />public property damaged ihereby. <br />Y E �✓�Y. .. � .'"' S"�,., <br />�ND.-_-SCAti� <br />Ati =� <br />--._._ �f�.'R,.� p �+" <br />In,pedor's Signafure <br />Dale <br />/�1 q s � a �l <br />�n"d1,�l�c�v <br />Cntc. <br />. �' <br />r" �, <br />Alley <br />;�� s' <br />. �z.i <br />j—t <br />f "_ �5/c,� � <br />r�oT� � D(LYFiNAG� W/�L l3�. <br />o�l P�ziv,arE PRopF�'ry <br />Variance Requited <br />Yes_....._.._.__.....__. <br />No______.. .__....._. <br />/Y(1at1� 11l�/E� �7/Let� <br />�alure o( Applicant <br />/o.3ns 0%l 4 9 ,L,In,�Usv�/Ie <br />Address <br />/-9- �S � � <br />iefephone Num6er <br />r� -�?�- 7� <br />�ar� <br />s �(1 n f'r P <br />Fee <br />DEPT. APPROVALS <br />Engincers �� , - �,'� <br />WOICf i�� �)� j' 1! N�1 k..i� (��7/ ^_ � <br />$ffCC� - e�l l.�lfl_.�.-��� _ , <br />Co�nnunimtio.i. �_..._- <br />