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_ - „ <br />— ; ;S <br />�_- _ �_, <br />� J. ; � �-1 <br />Peimd�(lP. :...........�-- ' I � <br />� <br />APPLICATION FOR DRIVEWAY PERMIT <br />everett <br />CITY ENGINEERS ✓ � , <br />---�'��ll..,� <br />EVERETT, WASH. �" Approved By <br />.�f.�. �, /_9�'/ <br />The Undersigned n �- C' F_ �': I (: . �--� E 1 j� [j Daie Approved <br />Hereby applies for permission to_C,����7- A 7_ S !7i'� <br />\ <br />At the follawing location �50�/ M U K 1: %ri' R � v P. � <br />SKETCH <br />(Work to be done) <br />� "= 50 <br />�—� <br />GLENWoo� <br />The undcrsigned owncr hereby agrces Io hold and savc harmless the Cify of <br />Everell from any and all claims for damages Ihat may arise because o( the <br />installaiion and mainlenance of thc improvemenl herelo applicd for and <br />further agrees b remove same upon notice from the Cily and lo replace all <br />public property domaged thereby. �_.,�,e.�,,,,,,-,„-�f <br />... .._.. �..; y i�CC7`IUii I <br />1'r..... • <br />...(1�.� SC�11.�;'� <br />� „ <br />� x��, <br />„ . � __,.�,.�......... .- <br />�44 j�'v % ' ..u.. .�...�.+•�r . <br />�� �i . <br />'�;;"' �i',.;'+ <br />�"`..._.�...---�—" <br />. . .. :v f:z� c��(��.'.. <br />Inspeclor's Signafure <br />..SITG .NEC� � "� 19�jj <br />s <br />Dafe <br />�il):)!S <br />Variancc Required <br />Yes.__._.__._.. <br />No.._ ......__. <br />�. �.. /'/, J r; i" . <br />i A/�j..�, / �.: i,/'. f '' ,.. <br />l <br />Signalu of�Applicanf �� <br />Goo � �,��yvqY <br />/�/ ) � ����'fi�� <br />r <br />Address <br />�? <br />� <br />ts.tc.e�.�, ... /���%i/,� <br />ielephone Number/ <br />,-,��._'� - � � i% � <br />Dole . <br />5 St' 7 <br />/2._ — /:=�/n <br />Fee <br />D pi. APPI{OVALS <br />Engineei� ,' G i.- 7 _� %� <br />Watcr—' i;: .. .-.�._-. �(. � � . <br />Strccl '� � � <br />�oi,; ,iwu� ,ticrs <br />