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�'�._;� <br />Permit No.: . �::..:_......i..i,�.. � <br />APPLICATION FOR DRIVEWAY PERMIT <br />everett <br />CITY ENGINEERS , f,^y�i � ,��4�,,C.,r` <br />EVEREIT, WASH. �' Approved ey <br />ic- 9— 73 <br />The Undersigned �"� � ��'� r� G �--- Daie Approved <br />Hereby applies for permission to � ��' ' ` 1 � ��"- +4 �=� ! '.i' ' _ �i iJ (;. , U� ��J'�U )� `i <br />At fhe following bmfion � � U `= � `� � � � `� ��� � <br />SKETCH I' ' <br />IWork to be donel I� ' <br />I �pRAv�oG- I <br />NE�� <br />I �R�Ar�1)q(�i. <br />'` \ <br />\ \ <br />ADJVST lU{�TEi2 <br />�1 ��'-C- VA �-UE l F <br />r;-i'�iiAeJT NFG£S.SAtLv �' <br />W--1Y <br />n <br />-�— <br />%- INSiHI� �. 1 " <br />. C(+:_\b`�Li <br />w <br />_` ' I `` `��/ /,�� _— .— _� (. G ! G✓/1'Eti' <br />--I4I I �fI -- ---�- �-- <br />I L.•�—_� r-kl'%�!!�fG CUL✓ERT <br />�` � > r.� � A�J =� <br />i <br />N^ =`.��.� r_' <br />The undcrsigned owner hereby ogrecs lo hold and save harm�ess Ihe Cily of <br />Everett from any and oll claims ior domage: that may arise because of the <br />inslallolion and mainlenance of Ihc improvemenl herclo applicd for and <br />fu� •r agrees to remove same upon notice (rom Ihe Cily and to reploce all <br />public p�operly damoged thcreby. <br />DRIVEWAY SECTION <br />{� NO SCALE <br />I 2�I � <br />+I'� LIP <br />` 30'�T _L30" <br />��GF� S —7 -�9 �. %roLc <br />Inspecfors Signafure <br />� .-_ � � <br />�i�z� ��lFcru=D y�-;,.� , �� <br />Dale <br />Variance Required <br />Yes __ ___ . . _ . <br />No._.._._. .. ..... <br />�; '� ; <br />is'i= n� � _ <br />�� _ <br />�` � ;i5., <br />� : r_.-., �. �,, .1-- <br />� � Signd/ure o( Applicant <br />Y <br />�S"d� //,' "�y '' �i�%-" _ a.g. <br />Address <br />-;:;�j_� j�=� <br />ielephone Number <br />S.=t �S- - <br />Dole <br />�'� / /J � � . � s' <br />S I � ) � �T1`' <br />1 <br />� <br />.. . , ,-�r�.- Fee <br />�-I'1- '� <br />` ���DEPT.-�PPROVALS <br />7 . �� <br />Engincere � >'�''� �"�-�- `°'� <br />wo��. <br />�� / <br />�• Slrccr � �� ' _. .. <br />—.7 _7.� <br />�;Sc� <br />