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f 1 <br />, =.\,�%, `) -�. <br />Permrt No.�...-�-,�--.--::- � -� <br />APPLICATION FOR DRI!!�EWAY PERMIT <br />CITY ENGINEERS <br />EVERETT, WASH. <br />everett <br />- :�:1..:���� <br />. �^� APProved By <br />r. �`��1%NF /6y' /9%D <br />'i'he Unde:e� �ed�� � �� �'�✓ �� Date Approved <br />Hereby applies for permission fo C'" /�!� � _ �3 � ' ' '^ '��—• -=-:t=- ! �'�' <br />At the following location 'r'�� � /!% % L. ��� <br />SKETCH <br />IWork to be do�el <br />_ �—�-- - <br />L ,�� �,��C c�... <br />� o..���;- <br />/ VEj.�t/fl `��. <br />I <br />3�;" <br />The undersigned owncn c�rc6y agrees to hold und savc harmless Ihe Cily o( <br />Everelt from any and all claims for damages rhat may arise because of the <br />inslallolion and maintenance of tfic improvement herelo applied for and <br />(wther ayrees to remove same upcn notice from the City and lo replace all <br />public properly damaged Ihereby. <br />Inspeclori Signafure <br />1� / L ��� /�V� <br />1 _QR!�'� .:,•;.,, ._ c.�; �3N _ <br />a �-_---- _ ,28 � - -----m{ <br />�i � i <br />� .:�' - -_— _- <br />_.._ __ _.�.,__ . W/' .. <br />� .P�..._._L� - - --- <br />19 'I LZO � <br />j ,e'c,-='_ %Oc N/ L�' <br />ac��4..�. _ <br />. . �;, <br />(. : _.:-__c) <br />S T,2EEiT <br />i<i.%:'; <br />3n� <br />_�iT' ��s/ i'.��/i ��� �iL� �L <br />� <br />------ <br />Dafe � <br />a � I �. � �: ___ <br />� , _. <br />-. _ `_ - _ _ '- <br />r ..�3� <br />Y �.Y `_.._,�__,..--- <br />a <br />Varioncc Requiicd <br />Ycs......_.._ _._...._.. <br />No_. .._..____._._. .. <br />� �i�l v' � ��:—c.t.<r.�.,._ <br />Signafura o/ Appliconf <br />Z.i��.�. �Qr+-G-ti`..�7 +-t.�rn_.0 . <br />Address <br />--� ,C, z . ��, �'- �) <br />ielephone Num6er � <br />�> — / �� % c� <br />Dafe <br />$ -4 -7_SS� .- �{�/ � u <br />Fee <br />DEPi. APPROVALS <br />/� /' :,...�......R,�......---•----�-�-.-.-.""" Wa1crS /�"P <br />(_ l!�7) � :� �' ,�f �'. . l'' ; � -. � <br />$trecf <br />- lommuni-,tiont � <br />