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) <br />Permit No.��._ _`: .��.. f .. <br />APPLICATION FOR DRIVEWAY PERMIT <br />everett <br />CITY ENGINEERS <br />EVERETT, WASH. ANproved By <br />��) /"/i4�i /% /�%� <br />The Undersigned ��� C- �� �� �� �J pc' Daie Approved <br />t <br />Herebyappliesforpermissionto ��N:�T12 %. �� �i� �2 ��)S Si-�i-� 1.�. �pJ -�i � X � �-� <br />C:on�c SL-�P,13 ;A�u-r-r+r�G Tr-�� �'- iT�� S 1�-WA �(� <br />At the following locafion_���2p�C 6 ZSOZ i�1p (zT'b 1�� <br />SKETCH <br />fWork to be done) <br />� <br />VS <br />t <br />F- <br />� <br />N <br />S V �TA�J t1 � v: r� suP� <br />LINE No. — — <br />�— W ---- W --- W -- <br />I <br />� 3� <br />Nu ��A�F <br />N o i2-ro �c <br />� — <br />—. tV �_/}f_ I u,r _ <br />� W <br />�V t- - � <br />W - V' <br />I �?Nc�,';:f:::f';;'•E.�-COV57R- �1 ,. <br />(c Y� I 2 8 U s S!i?{�_TC 2 <br />l.�r-� �Tn. .�; - . or� e'Xlz' co��c-�.. ��Ar� <br />� �: . , ; � <br />I ' <br />L --- <br />The undcrsigned ownen c�rcby agrces to hold and sovc harmless Ihc City o( <br />Everett from any and all daims for damages thot moy arise because of ihe <br />inslollation ond mainlenonce of Ihe improvement hcrelo applicd for and <br />furlher agreec to remove same upon nolire (rom the Cily ond lo replace all <br />public property domaged thcrcby. <br />DRIVEWAY SECTION <br />NO SCALE <br />f 3p,���� t <br />OY1v CD - /� ' �7 <br />� <br />rclor s Sig� <br />Variancc Rcyuired <br />Ycs <br />No <br />$ignalure�o( Appl�canl <br />�..,��-t� �/G��.� <br />Addrnss <br />zSi� F•7S,1 <br />Tefephone Nun:brr <br />� I C � � 1 � % � _ <br />�-�—=*=�-„ _ <br />�'� Dafe <br />t , i ' <br />