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��, � i <br /> Permit No. ..-%.=�..`.-': � <br /> � -��� -- � everett <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> , ��. <br /> GTY ENGINEERS } �' � ��,,y,�, <br /> .) .ri4.�t - <br /> EVERETT, WASH. oved ey <br /> )'/ /�� � ��qus 2� . 1 `�(a� <br /> The Undersigned �Y �L ' '���� � / � ���'' � aie Appro�ed <br /> Hereby applies (or permission to-�r/��i1 y 'c_--L_�'�'�'f`' �4�G`�' � ��7�' <br /> At the following locatio �� � � /�u �-- f�"' <br /> U,....�.......W.......-....�.,.�..,m,,,,.«.,,..�.<.,,�.�..,�..,� <br /> SKETCH � UC KL� /� � V E/ 1/ l�� <br /> IWork to be done) <br /> — � <br /> � �?. 6' 01.4i 20' . I " ^ 29' � <br /> �;:� r^ �� .�;11 . �. _ ;1 V <br /> E %::%... ;�G � ;= 1iC. ti'�jG, � <br /> ��� <br /> � `� � � m �n <br /> �v <br /> � <br /> I � �. <br /> ------- ---- - ----�--- - -- i �'v <br /> ,- .,,- <br /> �� L_ i� C= <br /> .��_----1__" ' _ . _ � <br /> The undersigned ownc• hereby agrces la hold and savc harmless Ihe Cily of Variance Required <br /> Everett Irom ony and all daims for damoges tha� may arise because of thc „_,_ . <br /> Yes ____. . ...... <br /> instollation and mainlenonce of the improvement hereto applied for and No _.. . .. ..__. <br /> (urlher agrees to remove same upon notice irom the Cily and to replace all � �--� <br /> public properly damaged thereby. . - <br /> r;, / � <br /> C,.: � '/ <br /> r y / <br /> r� / ,'C . <br /> i �� <br /> ...->/.__ / '��%�c f---� <br /> Signaluf@ o( Applicpnt <br /> / � / <br /> � C ` �: ( > �)?C r�u--Z <br /> .. <br /> Aildress <br /> �� /� i� ,7. ,� �/ J,)' �`� <br /> ` Telephone Number <br /> _s� ./,. . r �.a�,.,,i<`,. �;.'F •,�.f � Da1e <br /> Inspecfor's ignalure , $ <br /> c- . • ) .. <br /> Fee <br /> C_'� G" � C_ t — — <br /> Da7e <br /> � . ' DEPT. APPROVALS <br /> � <br /> ! •'' r�"" .� 1� �y _ _ . <br /> , �. : (t j_. r"�� r i.�` l�l " - � < `� : <br /> Remarks i- � z ' � Engineer -� <br /> Waler � <br /> + 1 . <br /> _ __ Strcet , <br /> iJ <br />