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Permit No:�,�' ��./� <br /> � - -- - everett <br /> APPLICATION FO(2 DRIVEWAY PERMIT <br /> , <br /> � . , <br /> � , , <br /> , ,� <br /> . ,; ,. <br /> � , . , <br /> ' � ,-��i��` <br /> C!TY ENGINEERS V ^ , , � � <br /> EVERFTT, WASH. ��� � L � V � � —� Approved By <br /> i <br /> l ��- �� _T�,7-.-,����3�/2'1'l <br /> The U�tdersigned �� L D N 130�r 1 N Date Approved <br /> Hereby applies for permission to �.'o n�- 7- A 20� D�� <br /> Atthefollowinglocation � ��� — �i�Er'—VlEW l3LVL� <br /> SKETCH - — — --- — ------_. --- — <br /> (Work to be donel <br /> —_ F:F_MOVE f-�REi-1 Qf <br /> GC�Sri�✓C- O�PrvEIVAY <br /> RIVERVIEW �LVp . <br /> — s.• q.q . _— <br /> — 20. _...—' <br /> � � <br /> ��-4D� � � <br /> n � <br /> �,�, i <br /> ' �.'� i <br /> I 28?0 " I <br /> M I <br /> � 6°— --' <br /> �� <br /> 99 ;rn � �p� <br /> The undersie�ned owncn c�reby ogrecs �o hold and sa+c harmless thc City of Variancc Required <br /> Everett {rom any and all daims for damages Ihat may arise bemuse of the Ycs ._..._ ...._.. . <br /> insfallalion and maintenance of the improvemenl herclo applied (or and Na <br /> further agrees to remove samc upon notice (rom the City and to replacc all �- � � <br /> public properly damoged thereby. <br /> r'� <br /> � ,. <br /> , l( ic' _ <br /> j $ignolure oI AprGcan� <br /> i' <br /> ` SJ�T PAR�'S�Oi- Gti,' <br /> �' \i\` N�AR�/S'Y/Ltkress <br /> . \ �OS'� � �o�o j � _ <br /> i <br /> ielephone Number <br /> � - F�_ =i ll` �� <br /> � Dale <br /> ��� � � <br /> Inspecfoi s Signalure $ /� o � '-'G(_._ �� <br /> , i <br /> ��� Fee <br /> S�%F h/ C,c'f--/) � �.2.2�j�— <br /> Dale <br /> DEPT. APPROVALS <br /> _ s�/_� �a i <br /> Remarks Enginccrs,-'_;..__�- �'' `Z/�� <br /> Walcr � . .. , .- <br /> Strcet ` _ <br /> — - [:'.�nr� ni.nh¢',c—__. '. _ . .. . <br />