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m <br />Permit No..��. .S.r..----. <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETT WASH. <br />everett <br />%����-� - <br />�- � Approved vBy <br />� i/V E �_. i/i' i6�- <br />The Undersigned V Ef� �1 � L I A1 D l3 F' 2�r Da�e Appro'ved <br />Hereby applies for permission to Co �l 4 T" A ?�� D�c�) Fo.� .%� /AMOI�LL7 (=�Af�1SLLVG �.C77�� <br />At the (ollowing location ti-� �� �n KC FF L L E fz A V!= <br />Hi�ry _ - _ _ <br />SKE =H _� - <br />IWo�, to be donel � <br />r <br />N <br />W <br />ro <br />m <br />ti <br />0 <br />� <br />. <br />•1 <br />F,�Pel.iaE7E1-TaarFic i��G��f vsrEi <br />ca< <br />( N <br />�P <br />W 'µ��� �_�� <br />� � <br />� N <br />25 � ��T"�, . <br />,�� <br />, �/aT� - <br />\`. TNIZF_F f3jR�UNG <br />-_, � � l�lEr�,es To BE <br />l�,EMOVc D <br />�'-� <br />LANDSGAPIN6 6ALfG oi- =�:N <br />�OGKEt=E-'Lt...E(� AVE. <br />The undersigned owner hereby agrecs lo ho�d and save harmless Ihe Cily of <br />Everert from any and all claims for damages that may arise because of Ihe <br />installalion and maintenonce of the improvemenl herelo applied for and <br />furlher agrees lo remove same upon nolice from Ihe City and to replace all <br />public property damaacd lhcreby. <br />�: <br />� ,' <br />Inspecfor's Signalure <br />[�/. � `� / � <br />`%/ / �� � f//' � /�_l�� ��':" �=� <br />Dafe <br />--_�-�-- <br />-------�— <br />Variance Required <br />Yes._.. _. ____._....... <br />No__... __.._.._... <br />, <br />Signalurc o( Applicant <br />Address <br />lelepnone Number <br />oa�� <br />, <br />s ' ,.�--�,:�- �� <br />`1���7 ? <br />t .....,!i;'...,"...r,..f,�.. . <br />r*�.;x: -�: Fce - <br />.. �.. .... , , <"7tc/?r <br />,-.��r.� �:_Y%' � � <br />DEPT. APPROVALS <br />: � ' � l / � <br />Enginccr� !.t -'�';� / v-���i7-'- <br />Walcr —y !' c % <br />Strrn� �' i ` �=-� <br />