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_.-,; <br />, <br />. ,. _ <br />Pennd No. _ __:_--.=----....:. <br />• � everett <br />�. <br />� APPLICATION FOR DRIVEWAY PERMIT <br />�_ <br />�; <br />. <br />CITY ENGINEERS r —��j/� `� % <br />" / [.�;/C rrif• <br />EVERETT, WASH. " Approved By <br />�i�v ti .2 lAZ._ <br />The Undersigned O� /' vC f�� �j .�.; x' =' � —� Date A roved <br />Hereby applies for permission fo�' �''� � � ���'' �� C.;' �r✓ `� �/.�— c, <br />At the following location_ � ��� � `=�' r-�,� �= �== !'." '�'� .� r''t�%� ,� � � —� ;,,�*,� l <br />SKE7CH <br />(Work to be donel <br />25''"' STR�� T <br />1'he undcrsigned owner hereby agrees lo hold and savc harmless the City of <br />EvereH irom any and all daims for damages that may arise bemuse of the <br />inslalla�ion and maintenancc of fhe improvement hcreto applicd for and <br />further agrees lo remave same upon nofice from the City ond !o replace all <br />public properry damaged thereby. <br />.' <br />_ r�/.;=.� � . <br />,��,�,//./ <br />.:�'�' - <br />r � . � ` � , - , ' ., � <br />_ ',�, 5 ;� F � �.' � . ��_';ti��� " <br />�'< ��� �� �� �t: ��C_��. , , <br />�3�3":i <br />Inspecior's Signalure <br />.�` i; F' L/� — K j� `i/�� �) <br />Dale <br />Remarks <br />t� <br />Q <br />;�L � �r-�,�-./ <br />✓ un1 � =� �G <br />f�/�f1 <br />SCALC° /'�4�J' <br />Variance Required <br />Yes <br />. . .. . ..... <br />No <br />Signalure of Applican� <br />�� % <br />Address <br />� <br />Telephone Number <br />., <br />Dafe <br />.. <br />$ , �'�,. �. ;..-.... • l� . . ;�, l �^ �'f <br />Fee <br />DEP7; APPROVALS <br />Enginecrs � �� / Ef `�,� ' �� <br />�.. <br />