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�2 �, `1 <br /> -� .. <br /> " Permif iVo. .�. ...�.'..�.......-:... everet! <br /> APPLICAT;pl�I FOR DRIVEWAY PERMIT <br /> -� , <br /> CITY ENGINEERS �___L�� <br /> EVERETT, WASH. �' Approved By <br /> ' I /�R�'Crf �, /97'�3 <br /> The Undersigned D f�' � n K-S�7 � Dare App oved <br /> Hereby applies for permission to �NSTA r—�-- /�. Z�' G�^�C— � � �2-� ���'�L��� <br /> At the following localion Z R y� 7 � l V�f�'V ���`'`� ��"'� l� , <br /> SKETCH J <br /> IWork fo be donel �—O� g �" <br /> ��n <br /> �cn[.K <br /> yg2-� <br /> , <br /> — -- - :` /•if, <br /> (Z ��..c�2�ltE�� f��-Vr� <br /> The undersigned owner hereby agrees to hold and savc harmle:: Ihe Ci�y of Variancc Required <br /> Ee/e1t from any and all claims for damages �hat moy arise because of Ihe Yes <br /> insfallalion and mainlenonce o! the improvemenl herelo opplied {or and <br /> further ogrees ro remove same upon notice fmm 16e City ond to replace all No . .......__........ <br /> public properly damaged thereby. <br /> DRIVEWAY SECTION ������ � ��,y�'� <br /> � NO- SCALE—� Signufure of Applimnf <br /> f $,>�7 �,i°I�'$/L�" ,��. <br /> I" LIP � MN?YS�Ic «ddreis <br /> � , �� <br /> U� 'T'3� �S7—�s+�i J°}�: <br /> ielephone Number <br /> — � — �O � �-S� <br /> � <br /> �`.['� - '� C� _" -' ��? Dafe �/..f:/- .;. .- : <br /> Inspecloi s Signafor �� ) 1 �.�' � -.�-� y�'r� :��'�'. .. <br /> �ILy,J <br /> r� , <br /> � Fee <br /> -_=��i rc ��if C�KF n 2-� 7-7.3 , ; <br /> � � �p .. � �_ , , -, <br /> Dafe ,:�GC� .�L .- . .. , . <br /> . � � � ,J"' DFFT. APPROVAIS <br /> = 7u v �� �t .,r � ;.��. . �.� ;Ga�:/�<.: c �/:i,,S�- .;7 , . <br /> Remarks� � Engineers ^G �� :bu'� '2 �'1 b���' <br /> . , _� 7� <br /> Water '. :"• <br /> i <br /> _ Sireel <br /> Conn:uricalions .�. __—�:��. � �� <br />