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Pcrmit No. <br />APPLICATION FOR CtF;IVEWAY PERMIT <br />CITY ENGINEERS <br />EYERETT, WASH. <br />eve: pti = <br />% ./ �� �' � <br />7 <br />-/�%'rl��� _ <br />�-� Approved 8y <br />/9F��?/�.. J /� �1- <br />� Dal: Approved <br />The Unders�gned r- f`� T �� �-'�.�(n �= �� � �'� __ <br />Hereby applies for permission to - �- �� ` %�' � <= �' � <br />At the following locofion �/ :� �' •^ %�; �- . ' ' ' � �''.� /. �r _ <br />SKETCH <br />IWork io be donel <br />- - { -,- - <br />�� f� ._-_ <br />•`V ,� � _l� � <br />� <br />lg <br />�,i � �; �, �, � <br />The undcrsigned oN�ner hereby agrecs io hold nnd sovc harmless Ihe Gity of <br />Evcrett from any and all doims lor damages Ihat moy arise be:ause of Ihe <br />inslallation ond maintenancc ol ihe improvemenl hcrcio applied ior and <br />fur�her ogrees to remeve same upon notice from Ihe City and fo replace al� <br />public p�operly damaged ihcreby. <br />U:a��'�'.�r.Y _-SCCT70�—__�'' <br />(b1D� SCALE) � <br />- -�� <br />pR. � <br />1�) �,1 <br />� <br />CTION:�" <br />I —� __.... __..^ — <br />_� �.� �};7�-,��..�.. � <br />�_'� _..� \J i \ �_✓�� � I �� <br />�� ��� � �lt-'-�"__ <br />� � . 1 <br />Inspector's $ignafure <br />_ r. �� <br />.:_��L � i>EG i-.� ' J �� �:'�T <br />Dalc <br />Yariance Reqvired <br />YCS <br />r�� <br />;� <br />� , 'i <br />/��Z c � . ,�- l,, <br />�4ddress <br />�, �� - �% - �:J . � -> <br />Telephone Number <br />J '_�/' J'' /f�, j:, . — <br />� Dalo <br />,_c; <br />$ �.�� I°,.'�.i� . <br />Fcc <br />.DEPI.,APPROYAL�S . <br />,i% f�. <br />` �ii ��,/� •�. J <br />En�inecri ___rI L�L_:-_1. , ' � ` <br />�i� \1'alcr � . . . . _ ' — <br />Str�,:l . __ _3.'__-- ^�' ^__' <br />