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Permit No. .. �..: J..�. .:� <br />APPLICATION FOR DRIVEWAY PERMIT <br />O -� <br />C Q �� L <br />CITY ENGINEERS _ �� <br />EVERETT WASH ' <br />everett <br />� y <br />2�°� � � ��/��� <br />, . .. ,. APProved By <br />,. /i'��✓.c.�Z�3�'� /.'��, �9/� <br />The Undersigned ��'D /✓Noi� �1 �'�PO/�ll N F�✓T• � Daie Approved T <br />Hereby applies fur permission to r' an� sT2 �CT A 5�X I' �`� rA f R hl A�� ' ov � ni -`- r 2 r rt F K i s'r Po 2C hl �_ <br />DoWN IlJTD RA�F1-�1"NT - <br />Af the following location '� `� 3/- yo ,Y % P i orJT/� -/�Rl S r0 �i r 7"� L <br />SKETCH <br />(Work to be donel <br />I"=ao' <br />----i--�— // j <br />� <br />; <br />; ; ; v � K <br />---- -- <br />�!:� <br />' ' �/ <br />� <br />��� i <br />Pa�P���" <br />""'— ��A �UAED-CtA1L . .5'ff°P� <br />_ _'_. _ C1115_T_ . liC_ 3,u-T:A� �ro _ _ <br />—�� ..;�, 7 .. - <br />�; i <br />The undersigned owncn c�reby agrces fo hold and save harmless Poe Cily of <br />Everett Irom ony and all daims ior damages ihat moy arise betouse of Ihc <br />instollatien and maintenance o( the improvement herefo opplieo icr and <br />furiher agrees ro remove same upon notice (rom ihe City and fo replo;e all <br />public propeily damoged Ihcre6y. <br />i.�. �in,..� �.i . .. -.... ,.��i� . ..�... . . .,� ._ �, . , <br />._� . ;�i- � Lv� , .. .. , � c.t - . . i]'. . . . . - <br />� 1 .� �I ',1 ..1....1 ��.�fl ,.� „ . � . � . � � <br />'r� <br />!�).. . <br />`%!%'- /I h <br />� ,� � <br />,. , � , � _ ;� ,. <br />,=, � ,- ' a <br />� - � <br />��? . ---- /% <br />�_..> . . _. '.' --_:__— _,"� � <br />�MCP`JAii^iG IN%r.: B,' �^:;r <br />r c _n.� , . : <br />Variancc Required <br />Yes.... _.._.._ ____.. <br />No. . _.... ......_.. <br />i / ' �.• <br />�4' <br />/ •�-r iif'Z J �'71ii� <'Oa�; <br />�Scl�_ <br />� Signafure ol Applicanl <br />�� <br />���L G ���tC- �� // ,i�.-r <br />/ <br />Address <br />�'( �-. � <br />Telephone Number <br />• /> Y <br />, �� i �' <br />Date <br />