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PArmii No.�.✓_,___^..�.� <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETT, WASH. <br />The Undersigned__ �� N� L� L- <br />�'ts�y <br />everett <br />1 <br />� <br />-,,a; , : � t = :<<,. <br />� Approved By � � <br />. <br />�—/� <br />—, , �-- <br />� Daie Aooroved <br />/ - <br />Hereby applies for permission to C-' �7� S"T k 1J C^" v� "J� �/Z I//� I,f/Li v <br />At the following <br />/ r� <br />SKCTCH <br />(Work to be donel cJ' Y C A�`,'� C� G� <br />�1r <br />, •-1'LA <br />'L <br />� <br />PL, <br />EX I_.TI NG p R1 VE�VAY <br />The undersigned owner hereby ogrees to holJ ond savc hormless Ihe Cily o( <br />Ercretl from ony ond oll cloims ior damoges Ihot may o�ise becouse of Ihc <br />instollotion ond moinlenonce of ihe improvement hcrefo applied for and <br />further agrees la remove same upon nolice from Ihe Cily ond ro rcplace all <br />public properly c'omaged Ihereby. <br />ORIVEWAY SECTION <br />NO SCALE <br />r--- 1 �s— � -- _—_"I <br />_ I�� LIP � <br />�30"_�_ �30��� <br />I' <br />-� 7 - - c > <br />r;..� . <br />Inspedor's�5(gnalore � . - <br />Si T� L��/=Cl<E D 3- I-7;; <br />Dote <br />�.�-,`' <br />� i''�' G <br />(.�'� I <br />'? a %l�i <br />enc e _,F <br />Gi.�zg <br />� �=EPC/{C� �� �WNLK <br />�U2�� �ur _? w���� <br />DRivrkiqY � � vTTEN._ <br />Varionce Required <br />Yes _ _ <br />No. _... . _ _.. _. _ _.._. �. <br />x/t �fi 1•'.: /� LJO a t J._ / <br />Signofure of Applimnf <br />� C.�,! ti�t; � ; � l`!.'',�. l:"�C.� <br />Addreu <br />Y_ �"YJ � �: ) f� l� � 1+-� i� } <br />Telephone Number <br />� �'r�^ �% '�' <br />Dafe <br />.S4 7. <br />, t �z ���_� <br />i <br />i.���� � � �: _ . ; . Fee <br />r DEPi. APPROYAIS <br />�� /� /' <br />Engineers �.,i' � �� -� dt✓ 3-�' % 3 <br />Water ✓ .'i, "� — 2. � �-7 <br />$Ireel _ �� /�;: •. < ' <br />Cnmm,�i�,,.,,,,. . - � . <br />