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'L _ ,.,/� <br />Per-:it No. _ �.._,�....r�' J.(.-' <br />APPLICATION FQR DRIVEWAY PERMIT <br />�ITY ENGINEERS L�y� � ��j <br />EVERETT, WASH. Approved ey � <br />� - S- �y <br />The Undersigned %� ��f � �����'��%U � " Date Approved <br />i I <br />Hereby applies for permission to � i�� / � '- ,�. tl, �' �; �1 _ t� 1�. �� ! �j` j'� .i 1- �.F'� �i � <br />^� <br />. , �J '�'�4-. / <br />. . ,'' ..)___ ,A/ .��:/� / i... ..-- /��/..�. i �:,1 i. ,♦ i,. . <br />At the following locafion -�"'1�'� � - � � ` � ' � "' �� <br />SKETCH <br />IWork to be donel <br />'J .'�' i::G f=' :,=/G��, <br />� I� %� /-� �= � �� , %� `'' <br />.y� . <br />y`, y:., �� � <br />- -_ - _ .i �� G <br />/Jo .vn7 '�'c <br />�4GT�.�J' .L�.�.�ilu/ir>.G� <br />T <br />�� j,�,,�C. <br />The undersigned ownen c�reby agrr.cs to hold and save harmless the City of <br />Everett irom oriy nnd oll cloims lor damages that may arise becouse of the <br />instollolion and mainlenance of Ihc improvemenl hcreto applicd for and <br />(urther agrees to remove same upon nolice irom the Cily and lo replacn oll <br />public properly damage� Ihcreby. <br />DRIVEWAY SECTION <br />NO SCALE <br />r� � <br />- .l. <br />r� � I" LIP <br />�30" � 3� <br />—� ---- -----�' <br />� y, � � <br />LG77IJ�EL`Pe - � �c:. ';r-C <br />Inspedor's Signofurc <br />l7���:.. _'.__. _ <br />� <br />—^ �v � _ _ .��. <br />. ;- .. _. . . . ;'_ <br />,� <br />\ � )l-' <br />� X�_ <br />i ��?F--x- '.-= —'�k �— <br />�--,q s�,,✓ALT <br />-- i� r i � E/� <br />-6/?v� l,�:Pi//,'�? r�= �` <br />,vo,eTc.��v �-�vr=-. <br />Varioncc Required <br />Yes......_ ..._..._... <br />No._ .. .... .._._.. <br />� i� � � <br />��c-� �'�-, -`�' , <br />$ignolure o/ Applicanl � <br />` �.. <br />��/�.�._ . '/LS_-�L �.t - 1 <br />Add�ess <br />/l,.' - " ' ,' - � =,r y i. <br />ielephone Number <br />C_ .._ �. � ._ % `"� <br />Dafe <br />SO <br />S �� � \ 5 � }/' �% <br />�: ; �. '�� <br />_� <br />Fee <br />1'< ��. <br />