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P��m�r r,o. �L��'_�� everett <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> CITY ENGINEERS —����L ,�iy� <br /> FVERETT, WASH. ' Aoproved By <br /> � /..���' i� /y 7",�L <br /> The Undersigned�!7ET S�L�L='- Date Appmved <br /> r � <br /> Herebyappliesfcrpermissionfo � nuST �— Zy j��:�� �` �' �y +� � <br /> At the following location 3/ 3 a - R�c K,EI� �'�"°' �'" Av�• — <br /> SKETCH ______ _______— <br /> (Work to be donel I <br /> � i <br /> � �F I <br /> � j �� <br /> � \ <br /> I � I _ ni I <br /> � � V � � \ � � O li �y��_ <br /> � LS �� <br /> � � � � � ,�� �, _ �. <br /> N � i�j/ � <br /> m � <br /> , <br /> ;�- t . � , <br /> i "�a� � � ; � ���\�,4 <br /> , � <br /> i � � �� � � <br /> �4 <br /> �. �_ ► S�{�'��n� <br /> PL fl t�1-rr u G A REA 5 /'��,__ _ " A _ � , I :_" _ _._._ <br /> _ �_ <br /> F=, l) GIti � �� A�/F-_" . <br /> The undersigned owncn c�reby agrecs io hold and save hormless !he City of Variance Required <br /> Evcrctllram any and oll doims for domages Ihal may arisc bemusr. o( Ihe Yes. . . _... <br /> installolion and mainlenonce of ihe improvemeN hereto appiied icr and Na <br /> furlher agrees lo remove same upon nolice from the City and lo reploce oll <br /> public properfy damaged thercby. <br /> " /' . ..\ / .�' <br /> . � � � � � <br /> ��(,iGlr.` � / . Y, C ( ( <br /> 4 <br /> Signalole;01�APPlimnl <br /> I <br /> ��� � � �.C ). �f:i :��� �t , <br /> ddress / <br /> .� : ' � <br /> _� <br /> _ ��� � • f ! J <br /> ielephone Number <br /> ,� ,�. /1 <br /> Dafe <br /> Inspedor's $ignalure $ 1 1 o O P"' ��I 1 � C' ��l.: ?–�. <br /> Fee <br /> �._.� !�/��FC:C.ti%J ��;�'� -��-,�_ (C; ,(,. �1%r-. .: <br /> Dale � <br /> DEPT. APPROVALS <br /> v <br /> ,� ' � <br /> Remarks Enginecrs <br /> s si .. ,� <br /> .. "' - Watcr'-. <br /> �.— Strcet � �� � � � <br /> —' C'_.n.' �'.�aL� <br /> � <br />