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Permit No.�.�..-.. I_2 2 <br />CITY ENGINEERS <br />EVERETf, WASH. <br />The Undersigned � I N LJ,� <br />APPLICATION FOR DRIVEWAY PERMIT <br />�S� <br />everett <br />� i <br />_,, <br />• _� APProved By <br />C�crr��-� � /9�'Z <br />Da1e Approv� <br />Hereby applies for permission to ?���� � 2. —CfZFES I t� ,._„ c_:,'— PLAI�I'/"r 1�-� �� 1 �'=rz on� 7 <br />SKETCH <br />(Work to be donel <br />8 I C� �/z i 2 8 I lo <br />Z <br />� � I <br />� C.C. 1.:_t. '' l� V, �,,,f.-� 1: <br />The under:igned owner hereby agrees lo hold and save harmless the City of <br />Fe/eff f�om any and oll cloims (or damages that may orize becou:e of the <br />insfcllation and mainfenance of the improvemenl herelo applied (or and <br />(urlher agrees to remove some upan nolice from the City and fo replace all <br />eu6lic emoertv demmed Ihern6v. � <br />Inspecfor's Signalure <br />s%% . !�'i! : �'� "r.: � c_ >. <br />/'i /c, 'i � <br />Dafe <br />Remrnks <br />a � <br />I u 1, r't <br />1Jo s.cALS <br />Po�Tr�c�L' p�nr.�Te,zs t,���TM <br />V����E f.41\(LL b!_. i3i12C� TA'L�S <br />� VUI'!y <br />Variance Required <br />Yes..............._ __..... <br />No_ __..... __ _ __..._.. <br />1�7GG�0 �`�.I �cc;. <br />,,; <br />; ,� i.�...��, !!_��c� <br />� Signafure ol Applicanf <br />, <br />-���(G,�Z �C,^.���.�0_!%.r:f/ f�I/2� <br />Address � <br />� �. �. <br />''i,:'.� -�S�/—(c�I'7C-� <br />ielephone Number <br />,�f2cc�, r1� i'�nr�rrrts n�lu>-r g� <br />Anur✓ir�t�.i��:�s� io' FFut-� An,y <br />b��vF�.�nv .nr�co iahuNir,�ni ef <br />.1L'�P-F�\1� OLUNE(L li 2E51V��.-:1�'.•r <br />rr.,t. r-„F•r : i•-�.i,^,.cr.q�:<c <br />� Z- <br />/i;�n.t:�-t4�t, , �, /�a7 <br />Dafe � <br />a it�LL� ��� _ <br />Fee <br />DEPT. 9PPROVALS <br />Engine�rc-���—`i r�.Y/� � �/O'/ci-%Z <br />Watei-=. f'.�'' / - '•^' i g _ � '' <br />Streef ...�- ��_' �� � � l•. � . — <br />Communicafions � ���' "- �� � � <br />