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i 7L F � <br /> Permit No. -_ f__._.......^..... eVefe� <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> -, � _ _ �- <br /> QTY ENGINEERS __ = "_�� 't� <br /> EVERETT, W'ASH. Appro�.a By <br /> /'_�. -� �r -�� .-' jY_J'. <br /> � /�!�G <br /> � The Undersigned �A�l C� L E Y f E� G�WATE k, LA�.IU SCAPI I�IG� ooi� Approved <br /> Hereby applies ror permission to ���TA L L `r�/ � �2� � �� GAc�U, wr�'r"E.� [iN�`"� <br /> � <br /> At fhe following location <br /> � <br /> � <br /> � SKETCH � <br /> IWork to be donel W <br /> Q U <br /> 0� �J <br /> m <br /> m � <br /> WATEF� DCPT. � N <br /> ST2EET CfzOSS11.lG <br /> - x <br /> 3407 W <br /> � 1��, <br /> � - <br /> � - __ __ - sla' <br /> , ✓ -. � './ <br /> �— _—�t_ _...,--i'�", . <br /> V� C1�. / 1 GAL�/, L/N�= <br /> � �A�:� wa " , <br /> The undersigned owner hereby ngrecs to hold and savc harmless Ihe Cily of Variance Required <br /> EvereH from an� ond all daims for domages Ihat may arisc becouse of ihe Ycs . _ . _ _ _. . .. ..... <br /> insfailation and maintenancc af the improvemenl hereto applied for and . No.._._. .. .. . <br /> furiher ogrees b remove same upon nolice from Ihe City and to replace all <br /> public properly damo�ed ihereby. <br /> �i i � <br /> X �,:� �/,(i L/� J.-C ' <br /> Signafure o( Applica — <br /> �i,/ ( <br /> , 3`y/ 4' '�.<G l<ti�.• ,C.).'� <br /> � ' ' ' Address <br /> � 7 -+ _ `�.t �i7 <br /> � Telephone Nun:ber <br /> � ; � ' Q_ Z- . <br /> 1 !-7 �� <br /> ,�-��- ���(' "q- 1 , ,,,. ,<,� � 9 ;� <br /> / �� � oa�� <br /> N 2�/✓ . <br /> Inspecror's Sgnarore S /�!O /=,��[„ <br /> Fe� <br /> �. c'/. . - - 7 � J-fJ'J <br /> Dafe �:i� � /=�'�C . i� — /_��G<f/V:" ��� � � L <br /> D[PL APPROVALS. <br /> /,' � <<f ' % 7 � <br /> Rema�ks Engincer,s._�'���'r--=�,;�, �`_� <br /> WO�Cf'�: 'J� <br /> s .�� � - _ -_ ; <br /> --_.— Slrect_—._... <br />