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� <br />Permit No. _::.— __ . _ . <br />APPLICATION FOR DkIVEWAY PERMIT <br />everett <br />CITY ENGINEERS 'J�� � �/� CXJ{-�-'t� <br />EVERETT, WASH. APpra ed ey <br />� j Apr� � 15, 1�t(o`Z <br />� ' � Dalc Approved <br />The Unde signed �='���-�'"�'u ��� ' � � <br />��'t `� ��%-� � — <br />Hereby applies for permission fo �'" � � ; "" ' � � `���~^' <br />At the following location_._`�` � �' � ' <br />� �. <br />�� �] <br />—L <br />SKETCH <br />(Work to be do�el <br />'��ES % <br />/'i. .' , /�l. . I. . ��,'_�f:_� _ /j �,'.r/ - '� , <br />_-- �--�' . _ <br />�LL- — — - <br />.i _.�aL:C' _ . . ' <br />V/E' �v <br />The undc�sic�ned mvncr hereby aymes to hoid and save harmless Iht City of <br />Evcrett from any nnd oll doims (or damages Ihot moy arisc because of fhr <br />installalion and moinfenance of thc improvemenf hereto applicd for and <br />furiher apreez '-o remove same upon notice lrom the City and b replace all <br />public pi�perty damu;�ed thcreby. <br />.� . , <br />Inspeclor's Signafure <br />DO�C <br />Remorks <br />Variance Required <br />Yes .. .. _. . <br />No <br />�.5�2-t� �'J�1, � � <br />Signafure of Applicanl <br />�i�.�O .��_� 4..�"�1�L!/Gi,=;(.1' <br />Address <br />� ..1 / i��� <br />7elephone Number <br />�.,. � f 4� �. � <br />Dale <br />$ L- /O �i _ '�' .�_L�; <br />FCC <br />D[PT. APPROVALS <br />C.�ninccrs <br />Walcr L— �-- — . .— <br />5'�..: i ' _ ____—'. . ._— <br />