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_- . '"� �, i <br />Permif No�f.-.:...�/...;,J��� <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETf, WASH. <br />The Undersigned <br />Hereby applies for permission <br />everett <br />� � <br />��_ Ck'xl,.���1,. - <br />Ap oved By <br />�ep�, 'z5 , l q (�.� <br />Datc Approved <br />Af the following lomtion �JQ �� �L � �c / - ��/�fG / ��' S� S �L'�l n'� �� <br />SKETCH <br />(Work to be donel <br />� <br />� <br />W <br />,� G � <br />a��r' t� � c_ <br />� <br />�-( 5 <br />I " = 20�� <br />C'r�N`�;' .5''/,�/Gf/ `Hd ,fi L/N.�'F��✓� <br />fi`�o/y N�� � Caii'N �75'GCn/C7. ��%n? � . <br />�:�� �--�" _ <br />^`��- �� % � f �>F DOk%N SLO,�E <br />.� -,d,�?,� a y_: 1_., ..' <a. <br />�i//U.�.'�T"f_=D 8L 1!v <br />The undersigned owner hereby agrees to hold and save harmless Ihc City of <br />Everelt from any and all claims for damoges Ihat may arise becouse of the <br />inslallalion and mointenance ol Ihe impravemenl hereto applicd for and <br />(urther ogrees to remove same upon nolice from Ihe Cily and to replace all <br />public property damaged ihereby. <br />:� <br />�' i <br />fy. <br />i/�� ) ,T_ �� r-.�_.��� <br />Inzpedor'i%Signalure � <br />� <br />`7 � , i <br />�oie — <br />Remarks <br />Variance Required <br />Ycs <br />No <br />Signalu�e of Applitanl <br />add,�„ <br />Telephone Number <br />Dale <br />$ <br />Fcc <br />DEPT. APPROVALS <br />� . � <br />Engincerl ' / � / _ <br />Water � <br />Slrect � � %�'�� <br />�,.�.i,-,�.��..'-�liorls„s,��.- _ . . . <br />