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__� _ _ <br /> �' �(� <br /> P�;m�r r,o. .. . �..,�- -� ......... everett <br /> APPLICATION FOR QRIVEWAY PERMIT <br /> - , � <br /> CITY ENGINEERS _--`:����� <br /> EVERETT, WASH. Approved By <br /> ..�J-,v1T ,�.'� i97/ <br /> The Undcrsigned�!/�� � �` Tn v�n L i i� •�r u 7n t Date Apprcved <br /> i <br /> Hereby applies for permission to Cn—i^�'E—C1 2� > > <br /> At fhe following lomtion � � � I\ �Iln �P_�r �� V ��) � <br /> SKETCH I � <br /> IWork to be donel i • � <br /> -' v �I <br /> , / ��, . � <br /> , ,. � \ <br /> o��,, � <br /> -N , <br /> ` .> r, ��� i°- �o <br /> � ���� i ��� � � <br /> �� ,��Ib oo�°. N � <br /> i \ -C �:, ... �� �i <br /> 3d L <br /> ,\\ <br /> � � � <br /> �/ � <br /> � . <br /> J . <br /> � <br /> . <br /> . �� <br /> � O . , <br /> ` . <br /> 5� <br /> � Gp' , <br /> /� ���\ <br /> The unders�gned owncr hereby agrees l0 6old and sove harmless Ihe Cily of Variantc Required <br /> Evereft from any and all daims for damages Ihal may arise becausc o( Ihe Ycs. . .. . <br /> .__. ._..._. <br /> installalion and mainlenance of the improvement hereio applied for and No. . . .. _ . .. <br /> further agrees ro remove same upon nolice from Ihe Ciry and to replace all -��-� <br /> public properry damaged Ihereby. <br /> �— <br /> Q}taKEwnY. .-SLCTION � � - � <br /> (ND?:'SCAC�� � -- .. <br /> -- "'�`J', _����—�.-_. <br /> � � Signafure of Applimnf <br /> �� 1 ... " �, �� `-3 ' 1 � (lnn �� (��..7 (lj� <br /> -�O •� .-_� - . •-, <br /> = ' ' -__ _� aad,e„ <br /> �= —^� s i 2/~!�:_ <br /> Telephone Number <br /> ---�' - '_----� <br /> ..._.._.....�_ _.__.._.__.. . ..__._._�._._._._ Dale f� <br /> � / <br /> Inspecfor's $ignalure S ��. `��� PQIa �+�'4 7� �i� / <br /> l! <br /> Fee <br /> �.'rF �f/Fl,c:.c�) %-�- 7/ � � ' �/�� <br /> Dale <br /> , DEPT. APPROVALS <br /> J-• �-- // / <br /> Remaiks Enginccrf' �� r!!CI�h'� ry�- �:/ <br /> Water ���I�'�.-� T�n��anri .:.� . <br /> $Irert <br /> --'-^"'.. . - �,, . <br /> � liui � <br />