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aPPLICATIQN FOR DRIVEWAY PERMIT <br />CITY ENGINEERS `-�:2 f�,y ` �_ <br />, .�- tc..._' -z..:. <br />EVERETT, WASH. �� Approve�i By � <br />. <br />9 � , /., ' l i �f ,?! <br />The Undersigned pa u T � n c� ev- � F,1 D o I I C o n.ic C o. � `� ' Dare Approved _ <br />Hereby applies for permission to ons� �uc� A �2� � <br />At the following location—�1/9 M u kr fteo <br />SKETCH <br />IWork to be donel <br />0 <br />( <br />Muktlteo <br />. <br />n <br />_' __ ' _" '-"" <br />��/Fbd�e _...P� "rrre� �vT <br />r���d� <br />� Z "cvl.�ERT' <br />'J �N5T�1G�.�fi. <br />Thc undersigned owner herel v ogrees to hold and savc hormless thc City af <br />Everett from any and all claims ior damages that mav arise because of the <br />installolion and maintenancc of the improvement hereto applied for and <br />furlher agrees to remove same vpon notice from the City and to replace all <br />public property damaged Ihereby. <br />�ciwAY..-�__ SIC <br />(iG1A _'uQALE� <br />�f- 5u s-`�� ._�.., ,�... �_ �u <br />y ,_� !!�..— <br />Inspeclur's $ignalure <br />Sli r _��2"G�C�=-r� ��/ �7/ <br />Dale <br />.. <br />� %�.;5 <br />r� o� <br />�� <br />Variance Required <br />Yes. _.. .._.. _...... _. _ _. <br />No._......_.___.... __.. <br />�-r ,�-���� �=�.� -, ,_ <br />�s $ignature o( Applitanf <br />..�-..-�_->`-'<<:._._Y`- /'_..-.�'.t.__ _ . <br />.�zh'- �/sr ,�ue �l/�. FtY�,e'�r, <br />Address <br />�'�-5;"?! <br />Telephone Number <br />,,%,,. , 30, i 9 7/ <br />Dafe <br />� <br />i�' / /�L, ` /�� <br />Fee <br />DEPT. APPROVALS / <br />Engincers<-�y^�'(��'y �//�� <br />Watcr .'.[,� �-� 7; <br />Slrcet _ � ""— <br />Communi� 'ionz �___. _�.�_- � Y "- � <br />