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-, , <br />Permit No. J / •-._. . . .. . <br />A,FrLICATION FOR DRIVEVVAY FERMIT <br />CITY ENGINEERS <br />EVERETT, WASH. <br />evereti <br />,%�' ,�. ,� <br />) � �i<'�r� ilr.y.� <br />Approved By <br />;�C-% �''�� J <br />L�i,%;i7.Si .3�� - -- % �- <br />E�MEf� Cr', ,�-/�GGLL/�.�� DateApproved <br />The Undersigned_ — <br />Hereby applies for permission to G� h-'� S�". 2Gi �'G�'S y� ' V e 'ON U'�.��'=" �t' f,\ /�' -; <r,� ,- <br />At the (ollowi�g location =�>-3�� ��%G /1����� — <br />scA�E i"-5o� <br />SKETCH � �------- <br />IWork to be donel <br />�OC1t � F�'L L E-/� <br />� <br />m <br />ASP. <br />� <br />RK/n�G A <br />_ ..��y . <br />� <br />� <br />2 <br />Tl�.c underiigned owner hercby agrees to hold and srnc harmless the City �f <br />Everelt from cny and all daimc {or damages Ihat mo/ orisr because of the <br />installntion and maintenance o( Ihe improvemenl herelo applicd for and <br />furihcr agrecs to rcmovc samc opon noticc lrom Ih� City and 'o replacc all <br />public property damaged Ihcrcby. <br />In��.pedor's Signalure <br />� �'�%/= `. i_f.j-,�i'�: G/, ��—�-- - -� <br />Dale <br />Remarks <br />c� <br />, <br />� �����V � <br />5P, c'O�t�C, OR/ l�L-WA Y <br />34 / <br />i <br />�4 � <br />5307 ! /' <br />e <br />����� � / <br />/ 'a <br />, <br />'?-- <br />, j ',1 <br />1 I <br />; �- <br />� ',,� . <br />J' �'' � I <br />'i_ <br />�� <br />GU. <br />Variance Reqv�rc�i <br />Yes <br />No <br />_ , : � i� . ; f� ::�%,' ._ . . <br />_, i-' �� �l' `_7sl..r_.:: ��. �2�-- <br />Signafure oF Appficonf <br />S- 3.> 7 il'o� ir s' i%£ i�, <br />Address <br />� <br />.? .r � .. i.'�; : .; <br />Telephone Number <br />,y , <br />,'�. � � � ..3C' �; � , <br />��r� <br />5 , °= r � <br />i <br />fec <br />D�f'i. AfPF.OV�LS <br />Enginccrs - `�i....�L/�.�",:`��.1'–� i:i//.%— —_ <br />Walcr <br />Shcct_—t'..��—_ `:l:�.i <br />. -.ms . _-_�. . . . _ � _ . . .— _ <br />