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- , e. . , __ ._..........._. <br /> everett <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> CITY ENGINEERS ��� p <br /> ,�f,t�rn� � l�rt-ce.hu�_� <br /> EVERETT, WASH. v Approv�d By <br /> /�' /� - i-5- 73 <br /> The Undersigned ��,A� �� 5 �• �� pO � Date Approv«1 <br /> Hereby applies for permission to �'ONS-�-RUc T � J lC T ,�j���/�7L1¢�7' ,��1 UEw/Qy <br /> Atthefollowinglocation � I �� /�i9P�� S/ <br /> �__--------- �--- <br /> SKETCH <br /> (Work to be donel M/>p�� 5T2'E6'j" <br /> --� 8° - � - - -- - <br /> �. <br /> ,� i5 ' <br /> 2'�z �.�. /M� ��� �� I �EDGE oF PAV T <br /> l <br /> _ X .— <br /> I �--�^ ��NC� <br /> C o NC(��7"f_ U1 {-�� <br /> s�r�� wR�,e � <br /> SERV/CE <br /> T_ <br /> p t r <br /> r <br /> IJU SCALE <br /> IlZD <br /> �L L�`� .�.� <br /> The undenigned owner hereby agrees to hold and save harmless the Cily ot Varinnce Required <br /> Everett from any nnd all tlaims for damoges that may arise because of Ihe Yes............................ <br /> insfallation and maintenance of the improvemenl hereto applied {or and No............................ <br /> further agrees to remove same upon nolice from the Cify and fo replace all <br /> public property damaged thereby. <br /> ,. .i. . . 1 , _ . . ' <br /> DRIVEWAY SECTION � .� � � . <i�- . ,�� ��� �_ ��� %� <br /> , N����E� � Signature ol Applicant <br /> f�----- <br /> � _, ;z -i� <br /> I" LIP i�.-;i(. ' / . .; �'���' i (,�. <br /> Addresr <br /> �3p�� I ���30°�� .' ., _ , _ �=� _ <br /> "i' <br /> Telephone Number <br /> 1 � � \(� _ /�/� Dafe <br /> � \ � f t �o _r # <br /> Intpecfor's Signolure s I � �U ' ,3�3 2� <br /> 5/ Tr Cl-F�CkEI� /�-//-73 �cu� ,c��+�3� lo-g-73 <br /> Dafe <br /> DEPT. APPR VALS <br /> Remarks Engineers `'� ��_���73 <br /> "�Waler � <br /> )(StreN ��-, .' :t` ` _— <br /> Comm�,.�,.�'.,,,•'� .,� <br /> Tmffic '� �icr.� /cT� <br /> �� � �, <br /> Planning /n - <br />