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-_ -- - � <br />Permit No. l ._'..:_:._ .. ' <br />�� <br />;� �:� <br />.� . <br />CITY ENGINEERS � <br />EVERETT, WASH. <br />The Undersigned_ � ��' � <br />Hereby applies for permission <br />APPLICATIOI�1 FOR DRIVCWAY PERMI,T <br />d <br />At the following location �� 7d Z' 3�" A uf= iu 1 , r--� L <br />SKETCH <br />IWork to be donel <br />--- -� -���— _-- - <br />I. a n, <br />.; ,: :. : , <br />everett <br />. ���% -. �, <br />r '' %PProved By <br />. -. . • • _ a. :..-, � <br />u <br />Dale <br />3 � �� <br />r <br />Thc undersigned owner hereby agrecs ta hold and sove harmless Ihe Cify of <br />Evcrett Irom any ond all doimz for damage: ihot may arise because of Ihe <br />insfallation and mointenonce of ih� imprr�-rmr�,' b.c�eto applied !or nmi <br />�Uflhef O9rCes lo fCmove SamC �����-i'� I'O'i[" �Ic<'� "�C (-�i�) a•��I �u �C�:Ip�< al�� <br />public property damaged IhcirP:,:. <br />Inzpedors S�gnalure <br />_ ��� <br />S1 j "a <br />/ r�-r,_.,�i._�-'----- - � / � – <br />Cate <br />P.emarks <br />Variance Required <br />Ycs <br />IJo <br />i I <br />$ignolure o( Applicanf –r -. <br />7'�.3e�. G:: ,V��.aY��r �,,, <br />add,e:, ,� <br />�S.,S i7/3 <br />ielephone Number <br />/ 2/Z��?D <br />Dafe <br />5 /� °= .-�r-- � <br />Fcc <br />DEPT. APPROVALS <br />� " � / i,: i <br />—.— _ fnginrcn � � � .. C:: Y /�'//'<'.. <br />\Vcler �� �'�� <br />_ S�rrcl —.— <br />_ --'r- M'.. . . �. .-. . .. —.. <br />s r• <br />