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� " _ _ �'; <br />Permif No. ..._........ — <br />APPLICATIORI FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETf, WASH. <br />Qverett <br />, �� <br />.�- % <br />'rT <br />.(�' /;-,�.� <br />� - Approved By <br />,'' J � <br />_ `� �i -s�,r�.4�/-',�,( i; %c�-, <br />The Undersigned ��'y ' ^ � ' �� r � �- =� % �� i Dote Approved � <br />r <br />hlereby applics for permission to G� 1 1 �'r t� P� �-�- S' 4 1l f� � '�' �'��'� r� 1'-i '��" ��f'� � <br />At �he following location S 3 o I �_� ,> t,l �� {� l.� [: <br />SKEICH <br />IWork to be donel <br />Thc undersigned ownen c�reby agrces to hold and save hormless thc City o( <br />Everelt Irom any and all claims for damages tha� rt�ay arise because of the <br />installation and mainlenancc o( Ihe improvemenl herelo applied for and <br />furiher agrees to remove same upon nolice (rom Ihe Gity and lo replace all <br />public properly damaged Ihereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />� � S' � <br />I" LIP <br />L 3(1'� _ � _ 30" <br />I- <br />� �, �\�'�`� <br />a��,Ai�, <br />1 <br />Inspedor i Signolure' � <br />p <br />�j..�`=r' ��:1. � ��.�i i _. _ <br />DOIC <br />R¢ �arks <br />�o� c,11 � .:\���.: <br />'" t <br />`:+, �'� <br />�L IiFR T <br />�- <br />Varioncc Leq �ired <br />Ycs. _. ...._ _.. . ..... <br />No_. _...._ ... _.... <br />� "_ <br />� � 2 ) '7.�: . ' il,r. <br />Signalure ol Applicont <br />c; , �; <br />/ r_ 'J' �' 't'.� f . <br />Address <br />Telepho.ie N�mber <br />� � -� <br />E <br />Dafe � <br />/-�: : � /"�<< <br />� _. . - 1 7 ',' L. <br />Fee j <br />��' j /�. f ( .. <br />� - , 1 / �' <br />DEPT. APPROVAIS <br />% . .. - � ; . ; . <br />/ �/ ✓ � / _� _ � 'L. <br />�ngineCri ' � t?=���•�{ =� �" ' - <br />Walcr • �^ -i ,•. /t7.r-.� Gji�t.i5 <br />1 <br />��,Shecl � � <br />Commv::ica�iurs " �_��____ <br />