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._ _. .. . .2) - . <br /> . , ;,,,.:.:�...... everett <br /> Permit No. - _... .. .. <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> � <br /> CITY ENGINEERS � ����� <br /> � Approved By <br /> EVERETT, WASH. <br /> '�7:/.�i�r,—. i/> '%/ <br /> � Date Approved <br /> The Undersigned ,��� � `- , �� .-� - <br /> Hereby applies for permission to <br /> � ,r� -'T,7J:' '� I= / Z� ��/u%1 <br /> �', �, O 8 �J•'S�f:.C-'f ,�!/� <br /> At the following I�cafion_ �— - <br /> SKETCH '''� J <br /> IWork to be donel l�� <br /> " `l �i� _ <br /> UrrJ <br /> �."�' ��` <br /> O��'�� I�,'P <br /> �'•` � <br /> ��� � ;u. . �-�- / ^ <br /> -��' o iy� r,�ioF ASP� D/e.� <br /> /� �_ o�of�o5 <br /> � <br /> _� <br /> $�i <br /> V <br /> 1 <br /> C,/ <br /> i <br /> Variancc Required <br /> The undersi�ned owner hereby ac�rees lo hold and save harmless the City of Yes..... . __ .. _.... <br /> Everetl from any and all cloims ior dam�ges Ihal may arise because of Ihe No <br /> inslollotion and maiNenance of Ihe iniprovement hcrclo applicd for and � --- -� --� --- <br /> lurlher ogrees lu remove same upon nolice (rom the Cily and b replace all <br /> public properly dameged Ihereby. <br /> ~ ��S]%i:��f�Y . SECTIJId � .,� . ' `/� �/ 'I . <br /> � fNn _-scnr.e) y-,� - ,:; ,/ ,� . ... ; , <br /> Signature ol App�cant �.�"i;.� y/ J <br /> I �� V���I.R�I <br /> � �L �'. �' /-, Il,� � /� i " <br /> i �j.�K�'.' _,_ . . ... _. ....._. __ ._ .__.__�t3o�� Address <br /> � ��.. ',� ' � .'� � /� '� ��� <br /> �y i�Z""'��"-"-''��-- :..�-_-��.-=`� �- �ielephone Number <br /> i <br /> �� Dofe <br /> �-1 /G i`- � • �;' <br /> S �� / � �_— <br /> Inspedor's Sgnaturc / <br /> + ' - C <br /> � 5 ; Fee <br /> S�T"r" c''fl6�.Kr-i� �✓zn /7� <br /> Date <br /> )/DEPT. APPROVnLS <br /> Engineefs- - ` � ~ `Y/� L— <br /> Remarks Woter t� ' <br /> 5trre!—1.-` - =y— <br /> --- —— - - --- , . <br /> -- --------- �� Coi. ----- - <br />