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. '_-%' ' ,^ ;%' <br /> Permif No.' ,_----..... ......__:. eVel'E� <br /> APPLIi.ATION FOR DRIVEWAY PERMIT <br /> CITY ENGINEERS ��"'�vL� ,'L.'�' " �- <br /> EVERETT. WASH. Approved ey <br /> � ! "'.i <br /> _ '' - �' i - <br /> - ��,.. i`�'n,� `= � . <br /> The Undersigned_ � ��� � �� � �:� �-��1`��1 ''/ ' ' � }j ooro Approved <br /> Hereby applies for permission to � �N � � � �`� J � A S��� 1�lZ,l + �' ' !/1 `-S <br /> At the following location �- ` '� � S �'� D� �` "" ') � _ <br /> SKETCH <br /> IWork to be donel -- --� _ __ _ <br /> �__ <br /> ' ' `----_'-- <br /> � � � LOGL- o-f PAWr . _. ' .. . - ---- <br /> � a = __ ", ___ _ - -- <br /> E`ti1sT GUA�3 � <br /> _.___ ._ ___. .___'_.._._ . ._ _. _._ . .__ ... -- <br /> / _�_�. <br /> �� _- � <br /> �' / <br /> J' � � <br /> \ 1T / <br /> �� ����� 330�, �_��- � / <br /> . _ _ ;; ,; <br /> _ �' ^� % <br /> 1-07 ' / �T <br /> ld ,, <br /> %. <br /> ,; --_ _— - � � `�M <br /> ��� __ _ -- - -- - � M % <br /> ! <br /> , � <br /> i <br /> The undersigned owncn c�reby agrees lo hold and save harmless Ihe City af Varionce Rcyuired <br /> Evcrett irom any and all daims lor Jamopes ihal may arise becausc ol Ihc Yes.__ . ____ _ ...... <br /> inzfallelion and maiNenancc of Ihc improvemem ����.:_ �rrr�� for and No.._. ._. <br /> further agrces b remove somc upon natice irom the City ond �o replace all <br /> pubfc properly damuged thereby. <br /> t \ <br /> � `C) � 1 <br /> DRIVEWAY SECTION `� ,,�\�,! �j ��'1c��c�� <br /> NO SCALE Signalure ol Applicanl . <br /> �'3 � - I <br /> �-- �� ��� 0 � �� � d�� �- ��_L,� rP� � .1.11-. <br /> I� LIP I Address <br /> �3011 � ���30"�, �'.Z� ( — C'C> � � <br /> .�. I <br /> I . Telep�5one Nvmber <br /> . � . �'` ZZ - � 3 <br /> D��� �,)%, �:- _,� -» <br /> Inzpecror's Signofure s //� �L�� L=i��% <br /> / � � � <br /> � � �- �•"=L Fee <br /> , - , <br /> � , _ , <br /> Dafe <br /> DEPT. APPROVALS <br /> � /� <br /> - �CL u1.. , c< L- <br /> Remarks Enaincers ' � <br /> Waler iV�� N '� i�C%tLE <br /> /' " <br /> Strecl ����'t� . r ....., ��., -�� - <br /> .� � . �, <br /> Communimlions_-��r==.� <br />