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Permit No. L...-,..'.� �.� <br />APPLICATION FOR DRIVEWAY PERMiT <br />CIN ENGINEERS <br />EVERETf, WASH. <br />everett <br />Approved By <br />[� � k I �1 i . \ � , : _ . `. Date Approved <br />The Unders�gned •L � <br />Hereby applies for permission to ���� / 7 ���Y7r ^�J� �"�� `� v��`�T <br />TJ.�-'i /fi -�.� � -'� <br />, <br />At the following localion 3`�'�� � '�� ��G�'� `~J�� <br />(Work to be donel <br />FX/ST � <br />vi�DE /�u <br />no <br />The undcrsigned owner hereby agrecs lo hold and save harmless Ihc City of <br />Evereit from ony and oll doims for damoges ihat may arise because of the <br />insfallalion and maintenoncc of Ihe improvemenl hcreto applicd !or ond <br />lurther ogrt•s to remove same upon nolice from the City and lo reploce all <br />public properly domaged Ihcreby. <br />DRIVEWAY SECTION <br />NO SCALE <br />�— �� � —� <br />+I�� LIP <br />r30,`T �30„ <br />InspeUor s Signafure <br />Dafe <br />Remarks <br />! ` ��� .� �_ �<. ��. �.:._ <br />;:l . <br />-� <br />J:- <br />�1;" c�L- "/1 <br />� � "', ' ;• !� C.� <br />A�L=�, <br />� '- <br />Variancc Required[� <br />Yes <br />No <br />.,,� ... _" .!�:�. . ...ti ,� <br />$ignalure o( Applimnf � <br />_� y%-- / _ ,� ' . , .,,� <br />� .Addrest � - . <br />, ; , �. � � <br />ielephone Number � <br />Dale <br />'i o' i� '`' _ :,3 <br />,���� /� ��, � <br />S �� � ,�i� � <br />;�o�,_ �� Fee <br />'J . <br />� l��r-„ - <br />i - <br />o .' <br />DEPi. APPROVAIS <br />Enginecrs - <br />Waler �"� � .:.� � % �- �1 ✓�-t� <br />Strcet ' s"�-<a� /� ",.__ _, �,. , , 7i <br />Commun�calion���•- '�%� ____..__. <br />