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- Permit No.�_�...`...'._�?...... Ei/el'e� <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> CITY ENGINEERS �z� <br /> EVERETT, WA$H. Approved ey <br /> f;a����s� 9 /�z3 <br /> The Undersigned ����� � ��� � GK-C�- Do�e Approv <br /> Hereby applies for permission to 1 N����—�- A 23 � t � 1 I h� I:�:--'� �J'r�Nti �1 <br /> Af the following locatiun � g � Z 1�i r"I2 k�!�L( J �LV D <br /> SKETCH <br /> IWork to be donel <br /> i" ; n � <br /> ��VERVI�W 8�—�iD. . - t <br /> . <br /> . � _ I <br /> 'L£312 <br /> �uT � � _ <br /> 7� <br /> ----�-- � —'---/ <br /> The undersigned ownen c�reby agrecs to hold and savc harmless Ihe City of / \ �� Voriance Required I� <br /> Everelt from any ond all claims for damoges tha may arise 6ecause of the �� J� Yes. . . __._.. � <br /> __.. <br /> inslallalion and maiNenancc of the improveme : hcreto applicd for and ^ � \n,� No . � <br /> ` ... __..._ _._ ._ . <br /> further agrees to remove saine upon nolice from he Cily ond to replace all � � <br /> public proper�y damaged Ihereby. /�\� � � � <br /> v � � <br /> �R ����,� �� r�'��. <br /> ORIVEWAY SECTION v �h �i i �{�/ <br /> L�Gt e- <br /> NO SCALE u- � ` Signafu�e of Applicanl <br /> � Z ?' � � �i �Jv � �J i <br /> �" ua �� l �`'�-«X��.- 'l-����. <br /> �add�e,: <br /> ����a <br /> „ ., <br /> �30� �— __.f.30 _'�/��Y �ry��7<<k <br /> 1 <br /> ielephone Numbe�� <br /> `;'s", • "-- <' Y � <br /> Dafe, <br /> S� / ,-..1,-C•• .- � --`��i7 <br /> Inspeclor's Signafure s ��� -�'� �� <br /> � ,' '/ Fee <br /> �:- Ci��c:�rE� /=3/=�� %`� '' `� , �`: - a <br /> � , <br /> Lf <br /> Da1e <br /> L1EP7 . PPRAYALS q <br /> Remarks Enginecrs �,_'����i.°������7.3 <br /> Watcr � /. /--',;"� 7"i i <br /> Strect �'�-� '1'' � - �� - - - <br /> .. .- i•-�,. ' . . /� , <br /> � Communicalions_=_ ..Y <br /> _ __._ - _ � <br />