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� , , ' � <br /> , , � <br /> Permit No. _ ___ _:._...-:_-_-.._. . �Vel'e� <br /> APPLICATION FOft DRIVEWAY f'ERMIT <br /> �� / <br /> CITY ENGINEERS ��.�c ti� l�C-�-•<...n. <br /> EVcRE1T, WASH. proved By <br /> �<_F`b�.,� �i �n��t <br /> � �' / Da1e Approved <br /> The Undersigned_ ��'� ��'aa�✓ — <br /> Hereby applies for permission to �� ��'���T�� �• ''-��'��- � t'0 ' X Z p , <br /> ,PA ,��i✓G ,4,eC.� � -�') F'fi'Jr/i 1� -�a,r� ���oN�.t�����r✓f7 u�T <br /> At the fallowing location �1"�� Z ���� or�T -L��2 � — LO .� 78 ,�'7/`li�.��D� <br /> ��--�.o..�__..-.-...-,__,.,,...._a. / <br /> (�/�� .4�1)IT/�!✓ -- <br /> SKETCH <br /> (Work to be donel — _ <br /> �--- ' <br /> i \ <br /> �:I Dc�l 9C/J r <br /> � <br /> D/2• � <br /> � I <br /> �;n,4ti <br /> P�t'DVll�E Ffl/Z p,ec7F�R D�'A-ivA6E <br /> � /�70f%OSED ZC�X Ln f'�: ��VC,. <br /> �h � Z0 1 /''4RKl/t�G ,�R�� <br /> ?i <br /> �� �3° `° �� cvr r,sPh� �v,�b <br /> � � �p:f or EX.s-' fr./ ': <br /> / yg - - <br /> , 1�+C.C' I� <br /> / I � <br /> ti,a2�o� ��r�:v✓ �po . � � � <br /> i �, � I <br /> � <br /> v <br /> C � <br /> � Q <br /> � <br /> �\J <br /> Lj <br /> The undersig�ed nv+ner hereby agrces lo hold ond save harmless thc Ciry of Variance Required <br /> Everett from any n�d all daims for damages thai may arisc becausc of the Yes._.. _ ......_. .. ...... <br /> insfallation and mnin�enance of thc improvemenl hcreto opplied lor ond No . . .. <br /> . __.. ._. ._.. <br /> further agrnc: Ic ;e.�•�oie same upon no�ice irom Ihe City and ro replace all <br /> public property damaged Ihereby. �. , =- ` •`` r!.- . ' . • . . <br /> ��C.�7 � ���•1 ��/�C' "-� <br /> � `,' i <br /> " i�lOTE � �-G ��-� � .�. �' _ �^�-�-. � <br /> CHt.CK V:ITH WATER � ��' C..� Signaturc of Applicanf <br /> '--'-�7. Ft„t ',CATER IJN[ � /� . 1 <br /> ,.., <br /> _ .,_,�,r,.L f`�C,IVATIL)N �pAvid� i�3G z- �c���.-.xf,2.0 <br /> Addr� � �7 �8 <br /> �"/ 2 , �'�' J.� <br /> ielephone Number <br /> i�� �.�G ��-f� <br /> �. % .---� ' Date � <br /> / �= <br /> �n��--i.- - . ,�._ . ,: . � <br /> Inspedor'i�-�ignalurn . $ _ <br /> j� � Fee <br /> �� 4� <br /> 04�0 <br /> DEPT. l,PPROVALS <br /> � J i <br /> Remarks Engineers� �"�^'�- � <br /> Woler � <br /> — --_-- -- --- Street�_:v'.��p:i'�-ltc.�Ittr . <br /> , �,�n��, � � , _ . _ . .. _ . <br />