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_ • <br />- �—I! � <br />Permit No. .....` ................. <br />CITY ENGINEERS <br />EVERETf, WASH. <br />The Undersigned <br />Hereby applies for permission <br />Tn c u��� ; 7v <br />At fhe following <br />SKETCH <br />(Work to be donel <br />APPLICATION FOR DRIVEWAY PERMIT <br />�rcJ c�'/'/%l � J �`�'/!/rE <br />everett <br />�, /" <br />,- <br />�— _ i �� � <br />Approved By <br />��Jit/� .2% ��%/--� <br />Dale Approved <br />Ti� /�L/-lc� Dk'��lN ��iv� - ;:� � �, ; : ,;,��_= �:,��w� _-.���,�� <br />�>,� ��i;��,� c Pra w� .�i����c,� <br />n30� �YC� i��,'',7i- . rT. <br />PRr1l�c�:'i��D Clc ^I:�-i <br />= Pi?G= I �/-=i'/i'/ <br />S <br />I <br />--_- _ - i-- ___ _ _ ._ <br />5Y'C!�MCIr-; -- <br />The undersi9ned owner hereby agrees �o hold ond save harmless the Ciry of <br />Evereti from any and all claims !or damages Ihot may arise because of Ihe <br />inslolla!ion and mainlenance of the improvement hereto applied for and <br />further ogrees �o remove same upon notice from ihe Cily and to reploce all <br />public property damnged Ihereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />I" LIP <br />f'3� � �- '1'3� "1 <br />('�,oSE oo i to-�5-�3 � <br />Inspeclor's Signolure <br />S'ir�-1;�,<r- � fc�:V � /� -7.� <br />Dale <br />FXI`'T(f��l'=• ('_(�'i-��, <br />Varioncc Required <br />Yas. ._ ....... _... ...... <br />No._._.._._..._ _._ .... <br />` , � ��t�L..� <br />�C <br />$ignature ol Applicanl <br />/�•!rY �C h �.'-����: <br />f'�/p Address �j(j/�f/� <br />�'s -7' —%i�O <br />Telephone Number <br />Dafe <br />,,.. <br />a /u�� ! �_,' <br />/ Fee � <br />r ,; ., , <br />Engineers .. <br />Waler�/� <br />Siree1 _rX <br />� /-i -, � 1 <br />