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Permit No. . .. / ' . <br />APPLICATiON FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETT, WASH. <br />everett <br />��'.�'���r-� <br />� - Approved By <br />, VUA/c .�� . �..Y%� <br />The Undersigned_ ��L"/�% /E'� u�-� � f �^ ��1`.��a�✓ � Daie Approved <br />Hereby applies for permission <br />At the following locafion— -"S s� r �)t �. �-_���'[ �=U`'�' <br />SKETCH <br />iW xk to be donel <br />coNc. n�� <br />2� <br />22 <br />23 <br />NcEO /�' .i�. -- <br />G',iG L'c::/c r <br />�� � . � �-r,. __ , i;' <br />The undersigned awncn c�reby agrces I. hold and savc hormless Ihc Gity of <br />Evcrell from any ond oll doins for dam:�ges Ihol may arisc becausc of Ihc <br />instol!ai�un and mainlenance of Ihe improvemenl hcreto applicd for and <br />further agrees to remcve same upon notice (rom �he Ciry and to replace all <br />public properly doma�ed ihcreby. <br />� ❑F;{y5\�AY .56CT7GN.:-- -- <br />° � � <br />� n <br />3c ao` <br />� <br />� ,�lJ:,... e.. � --. _ _... ��A <br />�...e. �H-p--�ca�t�... _ <br />�� <br />Inspeclor's $ignalure <br />�'i�rF C�,�ccX.c,�� 6/��, <br />Dafe <br />! .,..._._ �.,_ . _., . .•_r.���:� <br />—' (iJ.-0:�_�S.CF:b� <br />( •�� _ _ ~ _ .._..... _—� <br />� ` --- � .7 / � <br />� • <br />t ' <br />Variance Required <br />Ycs <br />No <br />. • ,i j <br />L� <br />Signofure of Applicanf <br />_�;i/,- '. <br />Address <br />— : f_ . <br />ITelephone Numbn,r <br />� ��J %�% Ci <br />Dafe <br />5 /�_ 5 � /-7'.��;/7 <br />Fce <br />DEPT. APPROVALS <br />�. Engincers���}�-`%�'�-,yT,? "�WJJ'l <br />— Woler L°� �^f-�///(PC�r.,.�.� <br />SL-cct__.__— .____— <br />