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Permit No.. - ''......._.. <br />CITY ENGINEERS <br />EV[RETT, WASH. <br />The Undersigned <br />' ' — <br />APPLICATION FOR DRIVEWAY PERMIT <br />� .`. - ` ! �� � `= <br />everett <br />� � �'�� � <br />Approved By <br />�C'?��3L5�' c� ��% r%� <br />Dale Approved <br />Hereby applies for permission to �� ��- �=� TV �^� <br />At the following location � � � '�- ` F _ F � � �- - <br />SKETCH <br />IWork to be donel <br />' NOT� .>;;� <br />cHr.c�< �vrr�i �vn'ER <br />C?7. P=�R VJATL R LINE <br />LCC�i11CtiS FiEFCRF EXCA`.�1iR3N <br />PROVIDE �OR <br />F'R11� cR DRAIPl,aGC <br />r;o,,� : <br />—b 4�OF Ce�JCr:t.., <br />� <br />y <br />�. <br />l' <br />U <br />� <br />� <br />0 <br />� <br />2 <br />O <br />_ .-'^ 1-�� 1�-� - <br />w <br />� <br />� <br />� <br />w <br />z <br />a <br />� <br />0 <br />� <br />o, <br />F <br />V- <br />�5 <br />1� The undcrsigned owner hereby agrees to hold and save harmlesz thc Cily of <br />Z Everell from any and all claims lor domnges ihat may arise because of the <br />inztallafion and maintenance o} the improvemenl hereto applied for and <br />furlher agrees lo remove same upon nolice Irom the City a,^d to reploce all <br />public pioperly damaged Iheieby. <br />._ .....-�_._'_'_. __ -�-- ___ <br />� � D.��vc.wr,Y S�cT1aN �RIVEWAY..SCCTION___ <br />1 - <br />, (tJG:-:SCAi£� � <br />i N �'p' ' � 30" <br />� �.._�.� <br />��YIT., .. _ _ . ... . , � . . - <br />Inspedor's $ignalure <br />/ <br />� l i� �/��C � /� />/E7 /%� ) <br />Dale <br />I , k� �1 _ ' � J"___. <br />�_..-- <br />^—_"�� � WA <br />� . _._�r.. �� <br />;<_,_ _...._ <br />� � <br />� , <br />. <br />�_ ��__�Nr� 5 � �.Ir_Z_,�__— <br />_, ._ r, <br />�:?,: � <br />i-. <br />Variance Required <br />Ycs. _.._.._.... _ ._. <br />No...._._._....__._.... <br />7%J/L�U � �.%4�i� !�!/✓1'�1� <br />g"y 16 �! j a q p ulp, y <br />l� j / / <br />��u.E/ � l/ J �/i��/Y'.��/C.-� <br />v <br />t� . . <br />Si�nafure o7'71pp imnt <br />��i� ��oq����-y <br />ndd���: _ v -r� <br />�� i� � _�� <br />ielephone Number � <br />i <br />. �., :/��_i "� j •�� ,. <br />ob�e , <br />��;. <br />� ' �" <br />$ / Z. "_""- C Lt. -- <br />Fcc <br />�,� /DEPT. APPROVALS <br />Engincerd.� _..I'.�����r¢ �`/F/°� <br />Watcr C'_.... i,, <br />Strect `' � - _ <br />Co�n�r. � . i ���.s. � . — _ � . __`� _ <br />