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Permit No. .�4� <br /> �� - everett <br /> APPLIC;ATION FOR DRIVEWAY PERMIT <br /> , = <br /> ,,:y <br /> CITY ENGINEERS a � �1�, <br /> EVERETT, WASH. Approved ey <br /> ^ ��FOTFw/RFP �7 /�7D <br /> The Undersigned !T �� �o �'� Date Approved�— <br /> i <br /> Hereby applies for permission to ��✓�TA� L � i�l� lA�lG � <br /> Qt� �✓-u/,a y <br /> At the following bmtion—�2 �U��'E'p ���� ' <br /> SKETCH <br /> IWork to be donel <br /> � ---.__._.,_. _� � <br /> _ ._ _ I ' <br /> � i � � ST <br /> PRol�o6Eo ,QsPNAc7'/C cn.vc . o�i� <br /> u � - r- ---- ---�,r- �--- <br /> schz�l - •fl, � ,�,�. " I <br /> ----1 _���-�=- ------ -----:,� - � <br /> �-._o ,---- ��--- � I <br /> —�---t -- ---- �io r . � <br /> � � ` ' <br /> M csz N <br /> N � ���.� � <br /> _. __ Q <br /> 3I <br /> __.__' __'__. . - .. .___.—.'___ � <br /> w <br /> - 3 t� - U <br /> IU ---- - - --- � <br /> J � <br /> J 1� - <br /> � .,a' <br /> BL�' � L � � i <br /> The undersigned owner hereby agrees to hold and savc ha�mlest ihc City of Variancc Required <br /> Evemtt (rom any und all daimz for damages thal moy arise bemuse o( the Yc� .. ._ . . _.._. <br /> inslallation and maiNenancc of t5e improvement hereto applicd for and - �.�)�.,�'� No� .�. <br /> further agrees fo remove same upon nolice irom the Cily and to reploce oll %�� �--'�� �-rr� <br /> pablic properry damaged thereby. ---- "---� . � � �-��_I.:�i <br /> R�S1V.G4/ _fiGCT / - .. <br /> (,rroA, _� ;aN '� /-j' /' <br /> � , <br /> _....e r,i��� �:.; ,.�r���N —� � � ,!i'�;-= l.0�,�?,, <br /> � � - <br /> �' -� �j � �-2� ' � ,Signalure oF Applicanf <br /> i� ,. � �'-'� 30 � n <br /> i �- --.—�--_ --- 30 � \`~�_... ��Nl�n__�•���-9 �����5 //::'L/��L�_;��/�'U�Y <br /> � ' '. ' t-' � �Q� ,,,' 1 AdBress <br /> � i , <br /> p�=^— -- 4 � i '-/' , -' r ,' �:� 7. !!-. <br /> I � Telephone Number <br /> � , , - � � . 1 � --- :� '� �. "� `�� <br /> ---- r"�----' _. .-= ----_ � __ ._._ 9/�v <br /> , � <br /> L} J % <br /> Dafe <br /> Inspecfor's $ignafurc S � ��� �'�,�D�1 -��?` `-' <br /> Fce <br /> �S'�r/= G��-c;c?L:�_�/�v <br /> Dale <br /> DEPi. APPROV,�LS <br /> Remarks Engincers� l/ r�1� <br /> Waler � �1.� .. a.., J :<" 7!� — <br /> Slrcet �' <br /> Communications - J' �— <br /> i �i:. <br />