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`.,q�;�� '1 i <br />. � <br />Permit No. ...:: .. �,:::.-� ..... � <br />CITY FNGINEERS <br />EVERETT, WASH. <br />The Undersigned <br />APPLICATIUN FOR DRIVEWAY PERMIT <br />' C� .� <br />everett <br />� <br />--- ��.;, � ..uo <br />�'Approved By <br />/o - !9- �3 <br />Dale Approvcd <br />Hereby applies for permission Tolti-ti'"_` l� P P'� D(' �V 1.� l t �1r S -��� �') l�- f3 ���'' ��� <br />At the following locotion � � � � S�� � � � � � 2 � �� � � � <br />SKETCH <br />IWork to be donel <br />J <br />1L <br />;�5 <br />Thc undr;signed owner hereby agrces lo hold and save harmless ihe City of <br />Everell Vrom any and all claims for domoges Ihot moy orise because af Ihe <br />insfallalion and mainlenonce o1 Ihe improvemenf herelo applied (or and <br />(urther ogrees b remove same upon nolice from the City and lo replace oll <br />public properfy domaged fhereby. �/ <br />DRIVEWAY SECTION.- <br />NO SCAL$-�'� <br />�� _.i <br />C� � �j�,3�� �% ��''% <br />Inspecfor's Signalure <br />�r T1,= Li�l�CK�1� /D-/5-7.3 <br />�o�e <br />REP�ACF s�crro.� aF cu2Q _� G� rrr�.2 a2 <br />Remc;.� <br />SAuI CcJT C�JR 6:� ru-�7'�� /N ARE�i uJNEf�'E <br />� <br />N� <br />����t< <br />Voriance Req�ired <br />Yes..... . ... _. <br />No........._.... <br />� . , i �,' ��/��"�' 1 �G�`!Z� <br />� SiS� Fe o( Applimnf <br />�!�.�c� �3z.s <br />1�r�c+.���,,Al!�", „r,%r�� <br />��Y - � ��,G� <br />7elephone Number <br />/C—%!- ��� <br />oar� <br />!� n�e? �C'f <br />Fee <br />�DEAi, APPi.OXAlS <br />_� ,' <br />Engincers ."ei'P`"� �u �7 J� <br />i � <br />Waier <br />Streel -��� � � <br />� :� , <br />Commonicalions�., <br />