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Permit No. �.�... �. � <br />APPLICATION FOR DRIVEWAY PERMlT <br />CIN ENGINEERS <br />everett <br />�—'i�.lf�.�-r� — <br />— Approved By <br />EVERETT, WASH. T� .�,-��ARS�.2B �9%�% <br />Dale Approvcd <br />The Undersigned <br />i- � C��aS i.� .{>, .� 7.^�- i � O � J <br />Hereby applies for permission to N� �-S 1 �� '�'-�' � F' f <br />At the following <br />SKE1'CH <br />IWork to be donel <br />� <br />AL�E y <br />IZ u c KL.R <br />The undersigned ownen c�reby agrecs to hold and savc harmless thc Cily of <br />Evereil from any ond all claims lor damages �hol may arise because of Ihe <br />installation and maintena�ce ol the improvemenl herelo applied for and <br />furlher agrees to remove same upon notice from �he Cily and lo replace all <br />public propeily damaged Ihereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />f'--- z5 �� <br />+I" LIP <br />� 30" � -�-30 � <br />r—�- <br />� <br />,ti-�-7 j <br />��� <br />�� .- c'%l.eG:i�'tsr� ? :Z7-73 <br />Dale <br />�. <br />TIj' _,,+ <br />�+.� _': � <br />�- - --- — <br />REPL/aGF EX/$T7NG�. <br />.SIOr'WvcK k/� rN 6 ' <br />/�/E!N SiiJr""N/t; ::�• <br />f <br />� <br />r <br />d� <br />M <br />i q' <br />Q <br />� <br />Variance Required <br />Yes.__.__.._._.._ _.... <br />Ng_._..._....�.` <br />�j�uu�1o1-�a , h t i��-�—� 5 ���}'�. <br />V / //%� /)�� � <br />v " = •`o/f�yl � •�f.1 <br />Signalure ol Applicanl <br />��l � 1,,1 � ,�,ta� <br />Addrest <br />G�� ���/� <br />7elephone Number <br />�� �`L� ' � � l <br />DO10 <br />s �:�.'.-�v G� (� 7-' �-O `'13 <br />—"' �X, ii�� . <br />�� Fee <br />[,�_ U ��cG. <br />,_- � : <br />rDEPT. PPPRp �ALS � <br />�'"c:'/' - 7� <br />� <br />Engineers_ _ i <br />V✓alef hrA � I A. �.� N 'F:: ' r�-r i,� �',' <br />$ifeet � `� ' ' � � <br />Communications �`— �'�' �Q•-"' !l• "" _ <br />