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---�1 <br /> ' Permit No. ..: . _..,-:_.: ....... E'VeCe� <br /> , .._...... <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> ,� �J , <br /> !�I i�. <br /> � �, '� <br /> ., �, �� "�f U� <br /> CITY ENGINEERS �1�. ^/ ro�ed By <br /> EVERETT, WASH. �uG V5� �a �q�G - <br /> ,,� :�y , � Date ApProved <br /> The Undersigned �G�r� `- '4 � ��� '� � • <br /> "�`.. ' J � �l .'✓ i 1 ,: , 'r <br /> i. • - .� - <br /> H�reby applies far permission Ta '�'�'=-=— `— <br /> �7 � � i';�"���'��`�r��'l�--l�`� � <br /> At the following location�/ , -- <br /> _� <br /> SKETCH <br /> IWork to be donel <br /> 113 � <br /> II'L <br /> 98 9� <br /> I2_ 7 3 ,Z <br /> � � <br /> •. ASr�NALT ONC , ,DR/VE <br /> , / , _ 18, <br /> R/ ►/E�c�' V/E 1�J� B�U!E Y•4R1� <br /> Voriance Required <br /> The undersigned owner hereby agrces to hold and save harmlesa Ihe Ciry of Yes.__ __....._. _.__.. <br /> Ev✓e!! irom any and all daims for damages Ihal may arise becauzc of Ihe No . . . ._ ._.... .. <br /> installation and mainlenance of the improvemenl hcreto applied for and <br /> further agrees to remove same upon noiice from the Cily and lo replace all <br /> public property damaged thereby. <br /> � � Signalure of Applicanl <br /> �� <br /> -- Address <br /> ielephone Number <br /> Dale <br /> /�� ,(� i�.. <br /> /i�.� 1 i✓ rl..< < .� . 5 <br /> Inspecfc*'s Signafure <br /> Fee <br /> �-: / �/�' % - <br /> Dale <br /> DEPT. APPROVALS <br /> ia � G�z „ � r, ��y � <br /> �,>�, � �.� i.-*-n c . Z_;i � -: i l Engineers�� . <br /> Remarks Water — <br /> � ,t//>._�t� Slrecl--- <br /> � S / n� f!=-•i �"� �9 i= � �c.� � . L.r <br /> i <br />