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� ^___ .__ <br />Permit No. �.<. -_::..:..r.' �.,.: :.. <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETf, WASH. <br />everett <br />�� � <br />�-c���. <br />—� Approved By <br />�7/a-'/� /%' /�7/ <br />.� <br />The Undersigned� .'� "' ��" � - _ Dai� Approved <br />on ST � <br />Hereby applies for permission to C 30 D. <br />At fhe following location <br />SKETCH <br />IWork to be donel <br />��l ' .,� % <br />. � � <br />� <br />��_Lf-i <br />Thc undcrsi�ned owncn c�reby ayrces lo hold and savc hormles� thc City of <br />Everett Irom any nnd oll claims for damac�es Ihal may arise because o( Ihe <br />inslallolion and maintenoncc af Ihe improvement hcrclo applicd (or and <br />further agrces lo removc somc upan noticc (rom thc City and b replacc all <br />public properiy damuc�ed ihereby. <br />/G�+r,Y. �_-5[C <br />(N'0-. SCALE) <br />Ir �o <br />t•�:� �__ � _ <br />Incpeclor's Sipnaluro <br />_1LZ�'" L.t11�..`Lit.� 4_� '7� <br />Dalo <br />Rmnarks —�-�---. . <br />� I �n <br />i�)�.��: <br />1 <br />Variancc Required <br />Ycs <br />No <br />� <br />Ui <br />V <br />��-,,� ,� ; �: ,�' <br />Signalurc o! Applimnl <br />% � r •� ' <br />Addre« <br />.'J-� i.:.- - /' . ' ' <br />Tol phono .Numbor <br />� % � • � <br />y <br />Dalo --- <br />S I 5 °= -iso*�'' ,�' 'r � <br />!rn <br />UII'L �P('VfIVAIS <br />I nylncels � .�Cc c��' �J i <br />� <br />`�, v/ninr.,�1'��i '-�.:_ � '.J _—.% ..ii—_'i., <br />�,���..� , ' ' ' . ,,_ .. <br />