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� i ) ... <br />/ �' _— � (��.' / <br />Permit No...._._ :....::.. ........ , _ <br />�ITY ENGINEERS <br />EVERETT, WASH. <br />The Undersi ned <br />APPLICATION FQR DRIVEWAY PERMIT <br />,v� �s-r wA��Do� u�✓A�.T <br />everett <br />Approved By <br />Date Approved <br />9 — . , l <br />Hereby applies for permission to �/4 V' � L�' �� H�' U T r� �`_' pR� �'�C�'%1'� V�� «H' <br />n _, �, i <br />Af the fol!owing location �� Q� �UC 1L- �(Z � V`� <br />SKETCH <br />IWork to be donel <br />�f <br />-d �i t�; ,✓,T. <br />-p. L� �� To t3 •= <br />/�A��n =-- <br />�.� , �� (n0 <br />� <br />The undersigned o�vner hereby agrees to hold ond savc hormles: Ihe City of Variancc Required <br />F.verett Irom any and all doims for damages Ihaf may aiise becau:e of thc Ycs.. .. . ... <br />instollation and mainlenonce of the improvement hereto applicd lor and No .... <br />Iunher agrees to remove same upon notice from Ihe Gily and lo reploce oll <br />oublic oronerty domaged thereby. <br />Inspeclor's $ignafure <br />S�r� � %�ri i�E> �"� � � % -.%: � <br />Dale <br />!. � : <br />' j� i l ,�/Pd J��� �� l/�J'� <br />;'i, . , .'ii %� i.. ' �"� <br />: <br />-_ , . , . l �lG <<� <br />.. . - � ,�n ., <br />0 <br />� <br />��� l � � _ <br />Signalure o( Applicanl <br />�( i!�U � TI r �d lLz.� <br />Address <br />� A��- �S � 7C1 <br />Telep6one Number <br />�� �' �'-� �' ) � �" -- � <br />Dafe <br />s uca t= � � <br />% / <br />i:.,'�G�U f`' � Fee <br />,._ _ <br />� .,.ci ;c-,� 7 5 <br />� <br />DEPT. APPROVALS <br />Engincers.`. � <br />T Walcr ��- ��� ,=�'� <br />� k $trcet . — <br />! _ _ Communimlions � <br />