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/ <br />i - — - �j- <br />Permit No. . / -°` - -........_... <br />AFPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETT VdASH. <br />everett <br />_����;� <br />-- APProved By <br />i4.o/>%t, / � /97.3 <br />W � � ���0 I' � Dole Approved <br />The Undersigned <br />c�2AD� F l='r>�. _-; � . � � ,; :_ - -- , =" I :'���_�" <br />Hereby applies for permission ro - <br />� r , . ,... A (�/_ <br />A1 the following location � ��� <br />SKETCH _ _ <br />IWork to be donel <br />r <br />�� <br />L <br />F- <br />O <br />� <br />a" ��,r ,., <br />� <br />Thc undersigned owner hereby agrees to hold and save harmless the City of <br />Everetl (rom any ond all doims br damoges Ihut may arisc becausc of Ihe <br />installalion and moinlenance of thc improvemenl herefo applicd for ond <br />luriher agrees ro remove same upon nolice from thc Cily and lo replace all <br />public p�operty damaged ihereby. <br />, <br />DRIVEWAY SECTION <br />NO SCA�E <br />�— -� <br />'I��.LIP: <br />L 30" <br />' �'` _�_30" <br />i - "-�._ <br />�. . <br />i• . <br />i <br />Inspxlor i Signafure <br />���/' �...if�� �f'�.%, i� /� /-�T <br />Dafe <br />G�E ��L�_`. `� _ <br />,_' 8�.:�.,, - 4 t ��� ' <br />"�� � S, o� c� oF 40T�-� <br />-AQ�A � � ae Giz�U�ra _ <br />� V:����.-r�'r <br />,,; ,i <br />� ',��w:) r, . C.�vc� <br />.��, , � <br />4� �v'' . <br />�` u. <br />Voriancc Requirec <br />Yes . <br />I�o . <br />•� r, <br />`L:�� C.o.Lr,i <br />$ignolure o( Applimnl <br />i�00'% i .��L:�c� ��' c°_ <br />Address <br />�'�- .� - J -? /c5' <br />ielephone Number <br />� <br />' i�/j0/r � .S � .� �/ i S <br />Dale <br />5 �.o fCt <br />/I '1 Fee <br />i\• _ . . -�' 1 S-:.. � <br />, � '� - .% ,i . <br />PEPT. APPROVnLS <br />/� <br />� J // / ' I <br />Engineers� �� �7-�:^2.v 'Y'�i��-/.� <br />Waler - �`^— '!- !1� �i< <br />Slreef .� ! i.-.... .��... �t-- <br />� -r�i r . �-. <br />CommunYmlions ' ----- <br />