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--� � C) `� <br />Permit No....(..�.....�........... � <br />APPLICATlON FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETf, WASH. <br />The Undersigned�'= �� T-T <br />Hereby applies for permission <br />,,) _: <br />"'i,��.- � — <br />Af the following location `--� � � � --� ' ��I'l� `; 1<- F-'� `\ ''-,� <br />SKETCH <br />IWork to be donel <br />f �sEv /%/LF:f 70 <br />� f�d e;!iJ <t�iY.J _�,i S.f� � <br />� fCNC`J� / � <br />,�� y1 iT. �, i/ . I.� �"� <br />The undersigned owner hereby agrees to hold and save hormless the Cily of <br />Everetl from any and all cloims for damages that may orise because o( Ihe <br />installation and moinlenance of Ihe improvement herelo applied 1or and <br />further agrees to remove same upon notice Irom the Ciiy and to replace all <br />public property damoged Ihereby. <br />DRIVEWAY SF.CTION <br />NO SCALE <br />�"� l . �. . � — J� <br />v �i�� i �_ � � <br />In:peclor's Signafure <br />-� � ,-� �f�f_��C:,K.�..l� •,7 —j✓ �� <br />Dale <br />r /'.s✓ T <br />everett <br />i�, , <br />� ' <br />-�,'i �� <br />�-- Approved By <br />�1�t� zs �97� <br />- Date ApprovnA <br />��o jca�e <br />Variance Required <br />Yes .. . _ .... _ _. _ _.... <br />rie _ <br />� ��� �� ��� <br />Signalure of Applicanf <br />��� - <br />�,���� E���-�iKr�%-c <br />Addrecs <br />� SS-S /�Oa <br />ielephone Number <br />�`�� ' -- _ <br />- '-� -��i�- ,� Z <br />Dofe <br />S , ; 4 �,"� ' <br />i <br />� ,' Fee <br />. , � .';: r!� <br />//� fC i:, �.r-. .- <br />pEPT_AP�OYALS „ <br />. _-�1"�C—� �CS' %•� <br />Enginee�s <br />_✓ ��� ; <br />Water �^ <br />Slrcef _ ..r J.,_ ,c�_, <br />Communicafiont �' ' <br />. rc- . '. �.�i_ _ .._ �.�__-- <br />