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� � / -, <br />,, _ <br />Permd No. -' - _ __.: _ . - <br />APPLICATIC�N FOR DRIVEWAY F'ERMIT <br />everett <br />CITY ENGWEERS r r" (%� 1 �. � <br />EVERE7T, WASH n�-� j �� � j 1,� Aaa����d ey <br />� � . , c:/ C)r�� <br />I � � ` � ,� '�� � � �' , , � ` � �L._ � <br />3c:-; .'� '; c / , _ �n , . �, , % i.�� <br />The Undersigned �����-- �--� �tJf_ i�: -C-�_I h#AX- IQ X'�lRTHEIUTS,� Date Approved � <br />Hereby opplies ior permission to -D 1�T• %/Gt/D I�� Q%��tl 'S %�ci � {� �%",", I l N f'I" :s <br />At the following location DD f 1" �� �_ /�_f%�L_ <br />SKETCIi � <br />IWork to be donel .,_--_ . /OOm ��_ s', w, <br />.. , ' � -- --- —. ..,�__ .. BULO.N� <br />i <br />..� � <br />^ <br />I <br />- � '• ___ ....._' _ '__'_._...___... _. <br />.-' i , i=� n.._.. �. . I I i..i�_�� <br />.• <br />. . l � , ... -.... ...._. . . .. . . _ .. . _ .. .. <br />1 � ' — <br />♦ C J , �� I ; .....`._ . �.. <br />., �. _ � ._., - <br />� � .:� -- - : ..�_ <br />. i .' '� `•�. ._....• r✓r•_ . `1,.� 3��i I '-G..<i e <br />- . �- '_.. .. `�<= ' �----- <br />, ; � � , '� . � , . J:J ' . . . <br />. . � . . . , . . . . . � � . � . . . . . <br />'_ _" izs�....+.-.r , o.�..r... <br />I't i <br />_� <br />"_ . . . . . r � i �� �. . � • ' , ' � <br />The und^_r,igned ownen c�reby agrecs lo hold and save harmless Ihe City o( <br />E�ereu liom ony and all daims tor damages ihat may arise beccuse of the <br />ins�allalion and m,ainlenance of Ihe imp�ovement hcrclo apPlied for ond <br />furthcr agrecs lo remo�c samc upon nolice from Ihc Cily and to replai�r all <br />public properly damageJ Ihere6y. <br />Inspr.dor's Signature <br />L://� � :..L.._�......� C; ' __ <br />Dale <br />�; ,,;; _ <br />Be.norkr � . <br />�NO SCALEN <br />in,s���� �z" cuc.vE� r <br />rorz ���AINAGE <br />Varionce Required <br />Ycs . .... .... _ . _. <br />No.__. .._.......__ <br />hc[-'.E'2 M� F_3aucK <br />- .:��� ._ _. . <br />� .�'— _ <br />Signaluie ol Applicanf <br />f 7')lo i f!'ZCI t (l;fL �V-• <br />Addrers (;.r� a�l; � a :.f �� %i <br />�t 4� �- '� �� i "3 <br />ielephone Number <br />G> -- `� - 7 z--- <br />Uale <br />$ ��7 �� /,'�)-/-l�� <br />Fec <br />DEFi. APPROVALS <br />-- �� � ,�'� „ -1 �% � i/� , <br />�- Enginccr}�.�-�.E.�cL'=L: �'� = ' � � � � - <br />\Na1er�'s.� T G — r 6 -�7 =T. <br />Sircct v�""�-�..��_. - - ---.— <br />: :mr,....:�..�:..na_ _�_ : _. - _. . _ _ _ _ ___ _— _ <br />