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Permit No. . 'Ji1 <br /> __ _ _.....:::.... .... � everett <br /> APPLICATION FOR DRIb'EWAY PERMIT <br /> CITY ENGINEERS '._1�,�„�,��� �\; �•l��t�.._. <br /> EVERETT, WASH. A�roved ey <br /> / ;�� . � ��i ���1 �`t�`i <br /> The Undersigned � % 1: ' � l Da�e Approved <br /> � <br /> Hereby applies for permission to �' ' � �'%� �� <br /> r <br /> /. _. ' �' L;: ,. ` / <br /> At the following bcalion `'J � - — - - <br /> .�� <br /> ) ' � <br /> ----"-----__ __- .. �. <br /> SKETCH ` �v <br /> (Work to be donel j i �;' �___ <br /> � I _ <br /> , � ;I �� ;�� � <br /> � �I � , <br /> ` i I ;I � I - � --- <br /> �� + � � . <br /> � 1� � -- _ __------ 'i� f <br /> � � <br /> ��'� � '� � �� - � '� ` - <br /> j , �,�: , , �y � . ,.,_t=_ � -.z-;: ' <br /> �'- ! �j o;� ��4! O ��" ' <br /> . t �i " c;1/, n4Nn, LC�L'!rJ' <br /> . : � ` <br /> � . � �;�� ! , � <br /> � � i I � <br /> � r <br /> ' � '' i . � ! "_"'__"_'__ . . ___"___".' __"___'__ 1� <br /> �` � � '�' � � �.: <br /> � � ,, , ,� <br /> .,; <br /> � � `" ' --�. � �, ; <br /> �i�; - --�_... <br /> \ � �; ' i <br /> , � !i <br /> � � � <br /> a�i 1 _ _ _ _ � <br /> ` j, __�. <br /> � � � <br /> � ��( --- --- <br /> ! ;�f 'j �'jT�-1 J�T�.C� !___..�_ , <br /> lhe undcrsigned owner h�reby ogrces lo hold and savc harmless the Ci1y o( Varionce Required <br /> :verell from any and all doimz for damages Ihal moy arisc becausc of Ihe Yes ._. <br /> inslallalion and maiNenance of thc improvemenl hereto applicd for and No . . . <br /> furlher agrees lo remove some upon nolice from Ihe Cily and lo replece ull <br /> public properly damuged thcreby. <br /> . � <br /> �,; �'. <br /> ",. ,� I �ia ��� l'� � :r.ii.(, . <br /> :'� $ignalure of Applimnt <br /> _ � <br /> / � . � � � ' <br /> � <br /> 3�� �� ; - <br /> Address <br /> .. +., .� ` ' / <br /> � . r.* -� :�� '� `. <br /> ielephone Number <br /> . d � �^ <br /> � Da(c <br /> ��,�`; - ' ' ; �'-, r,, <br /> InspeUor's Signalure � $ — � � � ` � �-- � <br /> 1 <br /> �� Fee <br /> ' / �l <br /> ' �. <br /> Dafc <br /> DEPi. APPROVAlS <br /> l <br /> Remarks Enginccrs � z �� '�- � � � •��+�,-_-• <br /> Walcr "'E' <br /> Slrcel <br /> ' ' Z�.. <br /> Ccmmu icalions � � �� ��' � <br />