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_/ .� <br /> Permit No. .. l � 1� f� <br /> _—..... ....... .. everett <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> CITY ENGINEERS � � �� �Y� <br /> EVERETT, WASH. � Approved By <br /> ��,�,ei.c /,2 /y��-3 <br /> 'i �.,�.� � . �r:�,�-!�. � � � Dafe Approved <br /> The Undersigned � - <br /> • ��� ;�. � �� i �- � � , � � - ; � � � ;_. �G\�JF�"��.%/. '� <br /> Hereby applies for permission to � " � ' � � � <br /> At the following location 3 � 2 2 - �`' � `�� �'`� <br /> SKETCH <br /> (Work to be donel <br /> � <br /> ,;��i_' <br /> _- �,, r�`2� f <br /> — � <br /> ,, �spr{ ,�- — <br /> �rL� ���' � _ <br /> _ , � � — � _ <br /> — M_ —=— _ ( \ � <br /> _ ----`� . �,� ' . . . <br /> , , <br /> I � __, 4' Tll, . i . <br /> � i� �,, , ,, , . c-. , . <br /> — ( : _ W ����. �� - '. � - <br /> 1 -� _ � <br /> � ;,. <br /> i ��� <br /> � ; . , ; � <br /> � - �..:� _ <br /> The undersigned owner hereby ogreez lo hold and save haimless �he Cily of Varionce Required <br /> Everelt from ony and oll daims for damages Ihat may arise bemuse of the Yes _ . <br /> . __...__. . _. .. <br /> installation and mainlenonce af fhe improvemenl herelo opplied for and <br /> lurther ayrees to remove same upon nolice from ihe Ciry and to reploce all No_.. ............._.._ . <br /> public properiy damaged Ihereby. <br /> - . � 1 �- ' . .� . <br /> `�. ,. � - -. . -- �c � . <br /> DRIVEWAY SECTION � ' . ' ' ' <br /> � ��_. . <br /> NO SCALE , <br /> � L/ � � $ignalure of Applicanl <br /> P' uP Y. t: . v,,,y 1r, � 1 <br /> Addrest <br /> �30" 30" <br /> --+� • "!_ f`t� . . (:�';, �� <br /> Telephone Number <br /> �;l-- ;;" - /:� <br /> , �� � I ' � s_�� 1� ���: 1`� oare <br /> �L �: � 1- Ccw. �) �E {�S - _��' �,.c�c � � � , <br /> Inspecfar's Signalure it�l(.��Ja �� �%: � � ;� �. I �+-�'���c� � �_7 �� �i-'/d �' <br /> i l I 11 / <br /> p r, ! � 7 <br /> 5/ T� C/-�EC l�C—P `f '��-73 CL`.ti � � .:: /.1 /. �����_� Fee <br /> Dale ;� � ._ �,�_i <br /> DEPT. APPROVfLS <br /> � � <br /> Remarks Enginecn l�' '�- h-"'� �%'� '� <br /> Wa�er �.� d: � �, .,� . <br /> Strcet �;'+✓�� _ _1.. � . <br /> - _1�->' . �" <br /> Communico�ions - �1�' .�y�,�� <br /> i. �' . <br />