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Permit No. --� _ _r...'::....:: ::-- EVeI'e� <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> CITY ENGINEERS � _ <br /> EVERETT, WASH. Approved By <br /> �/ri,t% .30. /9�'D <br /> � D ' G�1 A Q A / Doie Approv d <br /> The Jndersigned ���� � � <br /> � <br /> r <br /> Hereby applies for permission to � � n- � C- T / 2 �-''- �'/` � C , L.; ✓ � �;' � <br /> �C� J� �� CT��I �r ��> ir . <br /> At the following location , <br /> "� _UFiIVE1JAY. . �GCf10N ' <br /> SKETCH � 17�.___..--� <br /> IWork to e donel �� <br /> r� �$�1 <br /> �� ---'------ �� <br /> I' ' � ! f._..�,----+-------•..._�. W <br /> �--�� <br /> \ � � N <br /> � — 0:":3:edle.-. ._. <br /> Q <br /> 12 <br /> 13 ' <br /> � �..�� �.._.-•-_. <br /> jZRiK.EwhY -. fi'uCT10N <br /> n N QIVn">BCNLE� <br /> �( \ �4 <br /> 1'� Coa/C. O�'r'l v'� w'�I Y � �3oN <br /> V Q/,� „ <br /> � ^ . ooi ��� O`� �rJ' . �.�� b0�' —_..""�'�N��.L_—.__.�s._�I•�. <br /> � � ' POr�T ��C „ '�I ' _--._... ...,� _ � <br /> I' 1 - r------- /�2 <br /> 4; �.i <br /> �V �� 16 � <br /> s <br /> / 7 T" A (�E�I�UE <br /> The undersigned owner hereby agrees to hold and save harmless the Cily of Variance Required <br /> Evemft from any and all daims for damages that may arise because of Ihc Yes_...____...__.._.... <br /> insfallation and maintenonce of the improvement hereto applied for and No..._. _. ....._..... <br /> further agrees lo remove same upon nolice from ihe City and la replace all <br /> public properry damaged Ihereby. �•��' / /`/'�,/� � <br /> � Y L / <br /> / ' � . j- <br /> �'fc�;�d'. � <br /> �' r ;1'���f � �'l•� _, �: .�: .:e> -�-- <br /> ��? � � G��f��':,,.,,,,1 . ,<_��. f� t�'�"� ' � ignalure ol A 'tant <br /> � � .� � .. G ..�a� <br /> �� �.:;�^: , . .._._� �"� , ,�7�^ � , ;'�,/ �� ,;�/ LC ' c�C>,c.�s% <br /> Address c40.20 <br /> .; � , <br /> _ ; ,; �- � �y�� <br /> -n <br /> Tclephone Number <br /> j� ����� ,� <br /> ' � /y��, <br /> Dale <br /> / � <br /> Inzpeclor's SignaWre s !� �-' �- 2�Z� <br /> Fec <br /> yS�i rt C_.y.rC�E_�7 6/��� <br /> Date <br /> DEPT. APPKOVA�S <br /> Remarks Enginecrs _. L" � �L � � 7V <br /> .J c �"fi�.<t L <br /> WOIBf � <br /> $�fCC� <br />