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Perrt�it No. <br />APPLICATION FOR Di21VEWAY PERMIT <br />everettt <br />�ITY LNGIP3FER; �- j � � .� ; ._ _ <br />1-! �..�.+�—��-' -- <br />EVERETT, WASH. /�°""d BY <br />��E_�4, ��t�r'. - - <br />The Undersigned � � � _ Ome ApP� _ <br />✓ �� <br />Hereby appb�.s for permission io� �'� r '' '"1 / A 'G' �'C " : l '(�,c ��-' ' � ' � '-�•— <br />�� <br />/ <br />- — �. � � <br />At the 4ollowing bcafion <br />SKETCH <br />IWo�k to be done! <br />i " = 4-O' <br />_. . _T,�_ _� <br />.L� L �� Y <br />�� 1 1 1? � 1� 14 �J-- �� � <br />rw �� � � � <br />��C L� <br />. ;• �- ,�- _f- <br />_ _ �_ � _�_ __ 1 _ ,t � <br />- --=�---}�-�-=��-� ` ^ <br />,u �� �Q,�-�1���y �. <br />I-. , -,� - <br />`';"�,! "�, ,;" ' - f'-I �" � <br />The unders�gned owner hereby agrees lo hold a�d sove harmkss Ibe Cify of <br />E�e�en lrom ony and ail do�ms for damages rhol mny mise becnuse of the <br />msldla�ion nnd moinlenon<e of Ihe imrno�emen! ne�e�o appliea (m and <br />furlhe� ag•ees to �emove samc upon no��ce from �.��C C�'y o�d io �epl��� all <br />pubLc prope��y damoqed thnreby. <br />� —' <br />—i ? J ' y c <br />Inspedor's ifqnature <br />� i <br />� <br />Dole <br />� <br />N <br />� <br />1,� <' T� ' <br />c� ►.� � • �� �., � ,-� <br />c c� .-n � .r .�+ �, t !.: �- � G, <br />��z�SZ�. s�u.c.ouM <br />��- -� - �- ,�- -� e <br />,. , . �, -�- �-.%�, <br />, <br />.., <br />Variance keovbrd <br />ves <br />���Jc. <br />-. i - <br />� <br />• J <br />�tr� �.� .�.�i� i <br />$ignafure o( AppTimnt <br />� // <br />f�� �J r�tr' �7� � . <br />Ada�ess <br />. <br />_�y-� =' i - <br />Telephone A�umbe� <br />� — � � <br />ale <br />5 <br />Fee <br />DEPT. hP;^EOVhLS <br />�� .y: '\_1��'_�� <br />Enginccr �''_' _� <br />U �� 0 <br />\Vaief � <br />Strcef ��'� �. ' � <.L.. ,..w �L <br />