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� <br />0 <br />-� %� I <br />'i.. -: <br />Permit No....L_..,_:::.'............`.... <br />CITY ENGINEERS <br />EVERETf, WASH. <br />The., - — — -- -- <br />� <br />Hereby applies for permission to L�N S��• A 45 W� d C ✓/VJ; %�'�j�(�,�j�'Cr'-i �. <br />'�L_P:rJ7 �,xl P� !a-���f� � r,� C 1 �;1 1'/vU�i%�i?'�'k <br />APPLICATION FOR DR�VEWAY PERMIT <br />�f�l-.� T� I �. �r,,��7 <br />everett <br />r%i�� � ,, <br />V Approved By <br />1 -, - � -� <br />/�/. L/s.?/ � % �� � `i � -i <br />. Dote Appraved <br />At the following location �� Z � M v l< 1 L7C�7 3�-�J D, <br />. <br />SKETCH <br />(Work to be <br />I�PfzC3��.�. �/�t�u� <br />NCI�� Pf.U�T <br />1��� R 1�;. <br />\ ex�sT rflcc c�- pa.,�r <br />/ -� —�,-' �-� - -- — - <br />, <br />I;I.. <br />-Pc,�,. ., nr��i'� <br />— ---- 4 — — — — ---- --— `"— -- — — -- -- - - -- - — -- -- <br />The unde�signed owner hereby agrees to hold and save harmless 1he Ciy of Variance Requiicd�( :t'�u''�"�`� ������,��,�. {y <br />EvereR fwm any and oll daims for domages Iha1 may arise because of Ihe Yes..._.�..` �'4/ W' <br />inslallation and maintenance of Ihe improvement hereto opplicd for and '`r°��:��'V <br />further agrees to remove some upon natice from the City and to replace all No ................ . <br />public property damaged thereby. ' <br />DRIVEWAY SECTION <br />NO SCALE <br />� �� / � <br />I" �IP <br />E 30'�Ee _ I _30" <br />� �c-- v <br />L'Z�-� �!i( _� `l - � ,' `' i � <br />InspeUor's Signafure T / )/G/-S <br />v �,r <br />_, <br />�. -i i'�� �/ ' -i_�/ �j <br />: L .^� t , . ; 3 � r7 <br />Dale <br />i� <br />� �' � ��;c�� �377 <br />Signalure of Applicanf <br />Telephone Number <br />�ore !%_,�� �'- 3i- �j� <br />� ,� f' � � <br />i j i : $ ry -L ' �_ � <br />r i <br />�2��,�. � „:� �..��G�� , Fo� <br />-1 - l Z- '! .:f <br />DEPT. APPROVALS <br />Engincers � - �� " �� `-`� � <br />Waler � , �� :-�� <br />Strcet U . J' /'� ; . / ..�. .' <br />Communico!iort _.'.'---- -- - <br />