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Permit No. .._�.. �--....... ; <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETT, WASH. <br />everett <br />�_ , <br />,7S/1�H� � � �� c �1��y <br />�� � Appioved B�— <br />�E�—/9— 73 <br />The Undersigned_ ��'4"r� y M � 22 �� ,l Da�e Approved <br />Hereby applies for permission lo C-n � � � ` � �= F ` LS > > �, � — AS f' �-% ; � (�:! U�' �_ � P `' <br />Af the following location- 7� Q`•� J f� 1�G U G�i L <br />SKETCH <br />(Work to be donel <br />� ��yo� <br />�� <br />— -_-:-- — — <br />� -- i�� —_ <br />- — — — <br />% -- -- -- -- -- — _ <br />I�/��bov_�c.� __ �v� . <br />The undersigned owner hereby agrees lo hold and save harmless Ihe City of <br />Everett from ony and all daims for damages ihat may arise becausc of Ihc <br />installalion and mointenance of the improvement hcreto applied for ond <br />(urlher agiees to remove same upon nolice (rom the Cily and to repluce all <br />public pmperly damaged thcreby. <br />DRIVEWAY SECTION <br />NO SCALE��,J <br />I �� � I <br />+I�� LIP � <br />" 30" <br />30�,. ►. . <br />�\� `��"�� <br />Inspector's Signofure <br />-� T� C.('-��L--L.I��1J i G� -// %:�. <br />Dale <br />G� �� <br />�-•- 76�iEz�-� <br />—� �'' <br />t? I 1� � � --�` '- •'- <br />�� <br />,-+, <br />: � <br />�F-�: ��C'1'INI I �� J6 � J <br />Variance Required <br />Yes.._ _.__._ ....... <br />No. . .. .___. <br />"�- ?'f <br />�Sgnalure ol Applimnt <br />7i , j , i�: i <br />Address <br />; ':� �; — <br />Telephone Number <br />�" �-i 7 <br />� ''= /'Gi �oh5e rti, � �' 3 �( 9 <br />a �5= �-�Pd ��/��/�3 <br />�i�.'Cl/D � 7 � Fce � 3033� <br />Yf.l f,! � p ' <br />� DEPT.�APPRO VAdS <br />/ <br />Engineer� �� � /k^�r lv �� � 73 <br />Water � � � � `�'�-'� <br />Streef �_-`�-��_r <br />---�- <br />c�:�,v- �.'„mo�•......' _�. .�_ . . _."_ .. ----- <br />