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/ ! <br />i � <br />. ! <br />Permit No. �_ 1_.��..'.....___ <br />APPLICATION FOR DRIVEV�� AY PFRMIT <br />everett <br />� i" -, <br />����` � �__';��i(.���� <br />QTY ENGINEERS - <br />EVERE�, WASH. — Approved By <br />�;oT�>�/,Re��P %%%�%7D <br />"� � t ' Dalc Approved <br />The Undersic�ned �. �S"� i T r / �Jk .� �/1� %1 <br />Hereby applies for permission to.���ST�G� /� r /'�/v� � "u `� ' ' "`– ' ��� ���1 <br />At the following Iocalion�lL�� 3 Sy�'9�'��)/���' 'S j <br />SKETCH <br />IWork ta be donel <br />f.'�J✓IOYF IX/,ST GtJRB Gtl T�1N.0 <br />_.__. ._.. �. ,a.. � . �.--Fv ,4.t/D 5 ioG!�vil� ,(� <br />Thc undersigned owner hereby agrcc: !o h�Id and savc harmless thc City of <br />Everetl Irom any and all claims lor damo3�_s that may arise �ecausc of Ihc <br />instollation and maintenance o( Ihe improvemcnt hereto applied for ond <br />furlher ogrees to remove same upon nolice from the City and to replacr all <br />public preperty dnmaged thereby. <br />Inspeclors $ignalure <br />^iti' 'i=C.c�l ✓ ) 7�/ /%G'— <br />Dale <br />Remarks <br />Voriance Required <br />Yes . .. ._... .._.. <br />No. _ _._... <br />,1 ^ <br />� Signolure ol Apnlicont <br />� �r- �A.-: J =-� <br />ndd��t: r: , <br />ielephone Numoer <br />Date <br />S �_3�7q <br />�n � IJ/D<< <br />Fee !. ,.� �,._ , <br />DEPT. APP OVAIS <br />Enginccr\ �' � <br />Wa�cr � <br />(�,.,.� _ . _ __— <br />