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r�;r �o. _ �.2.._.-_7� everett <br /> APPLICATION FOR URIVEWAY PERMIT <br /> , . <br /> CITY ENGINEERS ;% � ,. .� <br /> EVERETT, WASH. Approved ey <br /> �/i>�l_"i /�� - <br /> The Undersigned�^v� �� � ��" � `�� ��� �- r� Da�e Approved __ <br /> Hereby applies for penr.iss�on to I T�L S �'A I._- ly P �5� �� I 1� F` yf�'1� ti V �' '.n/�f�.� <br /> At the following locafion 3 � 2 2 � E-1 � Fz.� ��/� <br /> SKETCH � I <br /> IWork to be donel j 1 <br /> � <br /> �� �y� -- � V I <br /> '�-- -/ _--r-------�- <br /> 1 <br /> a � <br /> N <br /> —� � � I <br /> � • <br /> -- I ._-_ . . ..__ _ _ . <br /> I __ — <br /> � I <br /> � ' `�--�•1 �Y�✓El'✓ i.l=I�.�,�vVA <br /> .� z� Y <br /> �� � , I <br /> „� �'` <br /> �7 � <br /> _ _ _ � ' � 1 <br /> SEltE,F- .-- / � I L� ------ . - <br /> I Q I <br /> .-7::i-N�ElJ7 ��.17STJ - - - � _ -� <br /> --------�� , �� <br /> ' � � � � I <br /> __s_ �, <br /> � � <br /> .z �-------- <br /> i � � — �-- -- <br /> 1 � <br /> � <br /> The undersigned owner hereby agrecs lo hold and save harmless Ihc Cily of Vorionce Required <br /> EvcreR from any and all daims lor domages Ihot moy arise because of Ihe Yes .. _..._..__. __.. <br /> installation ond moinienance of Ihe improvement herefo ap�lied for and No <br /> lurther agrees b removc same upon nolice from Ihc Ciry and la repla<c oll `� <br /> public property damaged fhere6y. \ ,- ' � �� " � <br /> . . _ .. __ _ _ _. .—_._____ . . � ' r � � . . �. <br /> � Lfr�:Yl:`..�r•:i b.-CTIOM � � • , . , _, ... - � . .�. . . <br /> (R(O� SCALC� � <br /> . � ' . , . . .. , . <br /> � �//� $ignafure ol Applicanf <br /> � �C'��� _�..��� �.f �A�L� ���� � uCVll �� �.C� �J<.��� R_Jh . �. ,� <br /> � �}�---_ I .�.,�--- '�'_ � 6 � 4 ��•�� -- Addre&s ° . \ <br /> �_, �� � � � 55 0C/ �-.. :�_t.'c <br /> � r r-" �--a � I.�U V � � L �u� . - . <br /> I � ,�, � _ <br /> E ��� � OW ['�(� 4J/„H � ielephone Number <br /> ` ` l <br /> L.�f�. ,.��. L -- _� �� Dale <br /> � :l l i ) � <br /> Inspedols Signature ��,��/�� $ � �Q ��/ A �) - Lb-��- <br /> �' f f ti— i <br /> . f`i��� <br /> Fee / <br /> _ _ _ � L)l<�N: ��1 7�� l, 77- <br /> Dnte <br /> ; , , , _ DEPT. APPROVAIS <br /> �',�C-f�� , '( n' �� i �') — it— � .� � L� , � , . - , <br /> Remarks � Engineers '" � - � - � ' - <br /> K'aler�` � � � .1 �.i�l <br /> Strcel_,_ . __ . . _iy_ _- -_ . ., � . <br /> __ .� . ' . . . . . � <br />