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APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETi, WASH. <br />everett <br />, -, <br />� � <br />- /''=' — <br />� Approved By <br />�t/�>��s•- ,�3 i97/ <br />The Undersigned � '- �' � ' j` � �' "t. I �7- Datc Approved <br />Hereby applies for permission to �"� '• %� � z h��tl <br />At the following location � �%- �'`* �"� � �' �' = '- f� L %� '.' ` <br />SKETCH <br />IWork to be done) <br />I ": br <br />Thc undcrzi5ned ownen c�reby agrecs to hold and sove harmless �h� Cily of <br />Everell from any and all cloims tor damages that may arise because of the <br />installation and maintenancc of thc improvement hcreto applicd (cr and <br />further agreex to remove same upon notice from the Ciry and to replace all <br />public property damaged ihcreby. <br />.._.. _.. - - `;�. _., �.�. fl�_'__.----'"! <br />; � . � <br />., <br />._ �_.._ }--,-��1 <br />t . . � ,'� --� <br />, _ <br />��� <br />i�_' �;.�.� <br />Inspecfor's $ignafure <br />- s/r,E c�.e� �.��7 6 /�-7r <br />oare <br />I ,�IL� <br />n\1U` <br />} "1 <br />0 <br />•`� � <br />/ � �\�� ���� � ,� { <br />�/ <br />�OJ�� i '�� <br />�� Ylti�� <br />� <br />W <br />> <br />Q <br />J <br />T <br />7q- �+� P L. <br />Variance Required <br />Ycs__._........_._.... <br />No. _ .. . _.... _ _ _.. _... <br />3Ei:}.�3 � ,= ' � <br />y; :",�. l . i C'��, <br />� <br />- $ignalure ol Applimnl <br />('f i 1�,� 1� �-, R•l.ni_.�__, <br />ada.��t � <br />�._S- 'S79s <br />ielephone Numbcr <br />Dafe <br />�5��1 :' i 1 <br />Fce <br />DEPT. APPRQVAI�S <br />EngineCrs_ L"`�'%�����`� � <br />Water -�%,'i "�.ILt-� <br />_ ' ._ _ . ._. _. . <br />Skecl - . .. .... .--- <br />C:�.r .. :,utir,r:. __ _'_._______�____ <br />