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. 13- �1�, <br />„ <br />f�rmit �lo . ..... ....................... <br />APPLICATION FOR DRIVEWAY PERMIT <br />everett <br />CITY ENGINEERS y ''�� � ' «.�y <br />EVERETT, WASH. ' ,/ Approved By � <br />/ �� <br />cp—�c�'/i <br />TheUndersigned' , ��� �!c,y/{ C f�/�=�-��.'%i� DaleApproved <br />I � <br />Hereby applies for permission to C�y v= L���l U�` �t-; ?�,+ /�f ,$i �i�'L.% J ;,� ��' ; 1�('� <br />At the following localion �� �� �i' ����✓���� � `�'� � L � `� <br />SKETCH <br />IWork to be donel <br />� <br />Ioolo <br />��G <br />< <br />Thc undersigned owncr hereby agreez to hold and save hormless Ihe Cily of <br />Evere�l (rom any and all claims ior domayes �haf may arise because of the <br />installation and mainlenonce of the improvemenl herelo applied for and <br />furlher agrees lo remove same opon nolice irom the Cily and to replace oll <br />public properly damaged thereby. <br />DRIVEWAY SECTION <br />NO SCALF� <br />�� <br />+I" LIP � <br />�r3Q'�T�� �T'3� <br />C�����=� %-�=73 <br />Inspeclor's Signafure `��.�/�/ �.: J. <br />�/TF c��r_cK.,� c� �� =�_s- i,3 <br />Dale <br />\ �'�' EDGE O� PAVF_MENT <br />Varioncc Required <br />Yes. _......_._.. .__.. <br />No_.....___ .. ._...... <br />,; , <br />� <br />i��LJY��it �� v '�-.J..;^,_,_ (.._ <br />� l Signafure of Applicanl <br />/�� �=" ).i/_=� /. ,GJ-� �: / <br />ddresi <br />n� 5`� _ ,i' C-/� �2s' �_ -�.-�'J.; <br />Telephone Number � <br />-t.��. . JCc2<% % ��7-7 <br />S %. 'J�O�are 6� z .-7;'. <br />��� <br />� <br />,r��. <br />Fee . <br />� __\ <br />�: .� � '� .�..� <br />Enaincers <br />,�' Watcr� <br />�Slreot_L <br />Communi <br />�-: . j /� �.. �; �! r' � , � <br />{;'� ;; , , , � �j /.'.i <br />