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_ :_, � _ <br />Nermif No. _.::.....__........ <br />APPLICATION FOR DRiVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETf, WASH. <br />The Undersigned <br />Hereby applies for permission <br />�: <br />At the following location_ - � <br />SKETCH <br />IWork to be donel <br />I" � �o <br />n(. ' eF PAJLMR.4T . - • <br />� � <br />A..lI.1II. \ \\ \.'� ��I . . . � <br />1 \ � <br />L, .1e'� r�� <br />�� i <br />.._'_ ��� �� __ __. _. _ I . <br />Ir �rll�•i� HFN✓III(i <br />I I <br />I' I <br />� I` �a�5� i <br />� ` - --- + I <br />I <br />I I <br />I ' <br />I �� <br />i <br />7hc undersigned ownen c�reby agrces to hold and save harmless ihe City of <br />Evcretl from aoy and all daims for domages :haf may arisc becouse o? Ihe I <br />installalion and mainlenancc of the improvemenl hcrcro applied far and <br />(urlher agrees lo remove some upon nolice (rom the City and lo replace all <br />public property damoged thereby. <br />Z <br />.� <br />Y <br />Q <br />LY <br />' '� <br />_� _.._._... .. _. .._. ._ —�.�........_.._._. <br />...__ . .__ _ _ _. �__' .___..._ UFi1� ,.. _ <br />!_...._. ,..: .vC"�v�rl'; .�l�i�dii�,._ .. : �t.i::��ON <br />; (!-0�. SCALE� <br />� !. _ _�_.._ ..��.-� <br />� �. <br />, . . ."' . _.! 11. � o <br />.-.. � _ ......_... __. __� 'l.�i � � (,. . . � ...__.. ... ._.__.��'�=O�P <br />-.......�..........,....«-...� ._..._�I 1 ; . . .. ...'"'�� `l-t ' <br />' _._..._...._ . __ . . . � ..� . \- --� C( i^ 1 �"`l <br />_ 1 <br />Inspedor's Signalure <br />i i <br />�jF �—iYG"C.C� i% '� C`-'' / ' : �, !:, � i <br />Dafe <br />everett <br />����/�Cc�„� <br />Approved By <br />f7�CE�N.�,�,e � i97/� <br />Date Approved <br />Variance Required <br />Yes <br />No <br />;1 i C' i S�t� L j, <br />$ignofure ol A <br />'/_ <br />I ' , - .. _ <br />`7 �5 . J *�i q-✓ � ��•� • <br />(I � !i'�2i��Ge�Ssi� <br />r�/�� ��iL� <br />.�✓'�oL- !/y..S-�i <br />Telephone Numbcr <br />I <br />� ... 1 . -�'� �1 <br />— `--- <br />Date <br />e1 ^l '%/ <br />S ��.-� ��E /%� /�„ <br />_� <br />Fec <br />DFPT. APPROVALS / <br />Enginccrs� �l //1�/2 �J" ��`l��) <br />ti � i: . <br />Watcr , . , .. . <br />Strccl � _ � — , - <br />