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,.-.Q <br />- C� <br />Permit No. /:: �-�::`.. <br />--.. <br />APPLICATION FOR DRIVE�VAY PERMIT <br />CITY ENGINEERS <br />EVERETT WASH <br />everett <br />� <br />�.��, [/�,, <br />� � /Xi <br />� � Approved By <br />N <br />' � </ ,,z s- �y <br />Dalc Approved <br />The Undersigned "'� �-r" N � �� � � � <br />He:eby applies for permission to O N ST t� �, � <br />�-,� , ,,�� �- �t���-� �-,���J��,AIt�,�r <br />At the following lomtion � 5 h'�' '� �' ' " F' � �-�E"`= b.\/� <br />SKETCH <br />(Work to be donel <br />s���-- ------- <br />1Jr. SCA�-C-� <br />--- I <br />� S_� � ��/ _ <br />�_ _ __ ����y--- — <br />- Ro�-�c�F��.LER__ /�V� <br />The undersigned ewncr hercby agrees lo hold ard save harmless Ihe Cily of <br />Everelt from any and all doims for damac�es ihat may arise because of Ihe <br />installotion and mainlenance of the improvemenl hcrclo applied (or ond <br />(urt!��r ogmes to remove same upon nolice from Ihe City end to reploce all <br />public property damaged Ihcreby. <br />DRIVEWAY SEC'fION <br />NO SCALE <br />— /%� -- <br />I" LIP _� <br />�-���►I 30�� <br />• n�-,� I r: � - Z Z - ? �'� .- �'� -� � <br />Inspedo��s Signalure � <br />//!1i /�i�'�� �r-�c? - ;'9 /.tt <br />Dale <br />9 <br />rtoGc�_,r p��r <br />�--• <br />� �-- <br />t <br />� <br />� <br />J � --- — <br />� <br />Variaiicc Requimd <br />Ycs <br />No <br />,. � ?, � ..� <br />' �.,... � C-� <br />r �� <br />Signalure o( Applimnf <br />6. o- �'�.� 2i7 sr �,. «��; <br />Address <br />} � - 3 �s � <br />Telephone Number <br />et �i' /�n.� l7 �(' <br />Dale <br />( r / — / <br />S (J Jv� ��)6.�J•.r��'i <br />f�_`.�7 �'�i i�\rc—. Fec <br />� } - I l� - "� d- <br />DEPT. APPROVAtS <br />, <br />i^. ' ra i o�/ ,j `. <br />Engincer <br />• Oy<I.+C <br />�n Walcr �� . <br />Arcet — <br />Communimli�� � <br />Traf6r ti_,.:. ._l% _�1.�—_1� - . - _.:+>_ ` ._,� <br />. . . .. _ , . . . . .. ... i, .. _. . . . � r' <br />