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. , i� <br />Permit No. -' _ __:._ _. .._ <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETT WASH. <br />everett <br />� � ";- <br />. <br />_= .:._:i/��. ` <br />Approved By <br />> �. <br />� iiv 3 /9 i/ <br />��G}��I�� ��AS �/-� _ _'s,. DoteApp�oved <br />The Undersigned �� �t �� "/ ' ' ' l��J � ; <br />" cni�o, . <br />,��� "Y .� � � .'Z� � i�J �� ' A lLt-.� i �j. ' rl.� : ' '� l U�''i� ; i i > <br />Hereby applies for permission to <br />/�L � � i �' ' , - . /,�- f�9�✓'//'./!: i.r-' — : � <br />At ihe following locafion L t'' ��� U✓��M���� - <br />SKETCH <br />IVJork to be donel <br />7 <br />�r :r / ". ; <';� 2 /�.vRK���� / � F �c,.: _. <br />� _ _ '::5 � s 7� i3d_' ,3 � BkCK c F - <br />fiicj!-�.'Yr' L�NE. --_. <br />.. c ^.� - - -��AuiT��" -- <br />_�__._ 6 n� � // . _ .'__ .-_--_ <br />— � <br />i� ��-� �� - 1 <br />� <br />�__ _ _ <br />li .s - L3/_D� To hE_b�� <br />,; , , .- _, <br />�,;^_''- ,.— ., � ._ <br />Thc undersigned ownen c�reby ogrees to hold and snvc harmless the Cily of <br />EvcreO from ony aod all doims for damages that may arise Le<ausc o( Ihc <br />inslallalion and maiNenancc of ihc improvemenf hereto applied for ond <br />further agrees to remove same upon notice from the City ond to replace all <br />public properly domoged thereby. <br />_._.. ... :l41y,:_�,�.`:f S[CTfON <br />(iQ0 .iCALG � <br />r <br />C` V � ��_ xa <br />�" �r: ^' I <br />,y....�_ �..�.� <br />• `` � � 1 ��•I IJ <br />1.�•�r�.�_�.� .�.. <br />a i—=iE= <br />Inspedor's Signalure <br />— —� `'����/ <br />� rr C � ���f'%` �� , <br />nai� <br />Remnrks <br />;�.'C i_L 5'ti <br />, :4'J 1//D� � <br />1r : <br />if.?. 'r <br />' f'OTE <br />'"''-C'< WI7H WATER <br />'�. FOR VlATER LINE <br />! � � �ATiO?JS BEFORE EXCAVATION <br />Variance Required <br />Ycs <br />No <br />7r� ��r nC/�r, ;_'? <br />u, <br />:,. <br /><,_ <br />i �; �.i 1_'���- <br />$ignolure ol Applimnf <br />fOC1ci L?��f��k�;� <br />'`�.�• ; � �7.,r <br />�� / LA-�-� � i <br />f l/C I .> ��� �� Ad(I�E55 <br />X '�! �cv . <br />� � �sy� �;�,, <br />� <br />:�,•' �l �r¢•� ��� r� (�/q�l�^H Cc�N<IY,�C- iclephonc Numbcr <br />� � <br />-'(', �/� �sc rt '/< c c'�ia� d� �� �- ll _� s/� 9/7 � <br />, Dale <br /><< �l'%i� <br />.�� , <br />S /G -- /.���.r _ <br />F�e <br />DEPi. APPROVALS <br />�� <br />_...�%:(,%y,�'"i/.� `.` /'i. Lo. <br />Engircers , � �'� <br />'d Waler-��-'". '� l.. <br />Slrect _ ._---,--y-`-� <br />r... _ .. n _. . . ,. . - -- — ' <br />