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. - ��;:�� <br /> Fermit No. .. . -.:- -...... .._..- <br /> � everett <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> QTY ENGINEERS � �i� � / � `� <br /> . _ <br /> EVERETT, WASH. � Approvcd By <br /> i � <br /> ` /��% -%�.,-> ,- <�� , �� � <br /> The Undersigned.__��� NA L�� •� . � U�i "� (L. Da�e Appro��d <br /> Hereby applies For permission to �D N S T/�„ � �S � G d_�(C���r�."�I V�!it/1� Y <br /> Af the following location 220 g �� �C�!<C 2 A.v� <br /> SKETCH �,r� � <br /> fWork to be donel 2 2 '� `,�T <br /> I <br /> - - I I yc . /. wA�E/Z <br /> Ra,ise i roo, <br /> w��zfZ vAr_vE - ----- —� <br /> 3oX 77 �hIV�'Wi�Y GRqD6 I�.S <br /> �3•5 <br /> Nb 5 � <br /> ScA�& - - Q/L __ (//,',✓ATe:� uNF � - 'I <br /> � L 1 1�� <br /> J� <br /> �' I � <br /> 1.. � / <br /> ��� TO P�L <br /> J ZZpB _ — -- —za <br /> � ' (MINIMUM� <br /> � N_ <br /> --, r � � : '� � <br /> i�_.f:c��,:; � ,� y-�_-.— — � � � <br /> w�� 'i -ii ' 'v <br /> �nlsr � i � <br /> DRIVGWAY ' �Y <br /> GURY <br /> ✓ <br /> S�oEt.�AAK I <br /> ',he undersigned owner hereby agrees to hold and save harmless ihe City of Varionce Required <br /> Everctt from any and all doims br damoges Ihot may orise because o( the Yes. ... <br /> instollation and mainlenance of the improvement herelo applied for ond -----����-� � ������ <br /> furiher agrees to remove some upon nolice Irom ihe Cily ond lo reploce oll No.... _..._. .._. _.... <br /> public property damoged ihereby. <br /> ". i 7 <br /> 1 <br /> ./ _ _._"'_• <br /> tV0 SGALt `ION •,-�.,�,Gc�" � _ �%4=<< i 4 � <br /> _� <br /> � �� � Sign6Yure ol Applicanf <br /> > <br /> � ��� LIP __� � d��v� ��.� !�G J� <br /> Address <br /> L 30'�i� _ 30" �S sL C `l S 7 <br /> I <br /> �'. L ;�:�} Telephone Number <br /> ; % ' � 7? <br /> � „1` � I �� � S- r// � Dale <br /> .�s_c_ 7 _. � <br /> nzp'�ecfoi: Signafure � / f � � ,�— �-� '> <br /> l 7 . ---.� . v ,l�� <br /> � <br /> �/ Tt= C.���C KEO �S�-Z-7_� �i-7''. /�� �r� i__. Fec <br /> Dofe �Y� /-��S <br /> �/�DEPi��.PPROVAI,S: <br /> i , (/� <br /> Remorks Engineers���. t^- � � �'S�7� <br /> Water � � ' /. ,� , <br /> Slrcef � <br /> Commu��rolions- "� . i • _ ___ <br />