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Permit No. .: . ;:�......:....-:..-.� <br />CITY ENGINEERS <br />EVERETT, WASH. <br />The <br />APPLICATION FOR DRlVEWAY PFRMIT <br />S 5���-�c 5e�tiv:�{= <br />everett <br />- i�✓.f��.LL �, <br />� ' Approved By <br />D -����e `� /�% S <br />Dale Approved <br />, <br />Hereby applies for permission to�NJ %-'U �- �- l��": �-ii c'v����lE�1 �' ; l �r- :�:ti - _ `--%�. . ! f_, '' —.',� � �._ <br />�l��� � �� � �� �� <br />�._' i'��� (J/� �.� �,---' �,.( l'r � ; i, i.. : �-�. . <br />l � <br />At the following lomtion �n�� �l�n �'OL� ,�/_ , _ <br />SKETCH � <br />fV✓ork to be donel � <br />�' <br />� <br />I <br />fJ� \ <br />5��� �-�- � <br />The ur.dersigned owncr hereby agrees lo hold and save harmless the City of <br />Everett from any ond all claims for domages Ihai may arise because of the <br />inslallolion ond mainlenance o! ihe improvcment hereto applicd for and <br />lurther agrees to �emove same upon nolice (rom the Cily and fo reploce all <br />public property damaged fhereby. <br />to-��-73 �,,���,,,i..,��. , <br />Inspedor's $ignafure <br />T%'— c'iS��C:C'Ei7 U"�6�X3 <br />Date <br />J <br />/l.'��i�`l <br />.: .=� <br />� <br />� <br />� <br />�/C � \ <br />� � <br />S�1W J'T �- .�"�' - <br />I� <br />- .� <br />�U'f S'L <br />�>,�'' f� �=/'�� i /��ci1� I�C/D,C-�K.�9r�J�7�c%5ifi/� <br />��i,._..,�_,� :, <br />Variance Required <br />Yes .__._____........ <br />No. __ _ _. ... __ _/..._... <br />Y %�J�"J�.JGiC�%/iC! <br />i Y /�^ <br />X �;'i � � < <, ' C C jJ�%' <br />,7.. ZSi'g�r �olure of AF�plicant <br />v � _7 <br />�,-'� �r. . � <br />.S ;S,c �� , � t« <: ti/1-�dress � C� <br />.;';; / ,s.,,-�.. <br />� �� <br />ielephone Number <br />� ,,� �','l 1. . `�� f.Cs . <br />0-8-�-. <br />Dale <br />"� , �s � � <br />Fee <br />DEPT. APPROVAlS - <br />Engineers� .'�'/' � � /�/�'�-�'� <br />Waler�.. — - ' <br />Strcef " • ' �i� : �. � . <br />Comm �dr�i ., � , /J, r: <br />