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— �r-- -- -- <br />`� / d <br />Permit No .... ..................... <br />��� <br />: <br />; <br />�..:• , : <br />CITY ENGINEERS <br />EVERETT, WASH. <br />��� �IM� � � <br />� - � . ��--`-...1��.�.� ,�Jc ci:/ ?'Yv <br />' � APPUCATION FOR DRIVEVvAY PERMIT <br />� � <br />1 <br />The Undersigned �-'' � � <br />Hereby applies for permission to_ �j <br />At the following location ' � <br />a aa�' o� <br />SKEI'CH <br />IWork to be donel <br />.�,. ,�'���/L <br />7�" � — : <br />,��EN� v�:� <br />� <br />� <br />,s/ �`. , � �R . ,. ,. <br />_�' ---- ---_�. <br />� ......_..._w._..._..._.._. _._ .__ __.__.. .__ ....... _-- --. _._..__�.._�_.-- <br />, _ .. ,, ,, � , f- <br />�'i. - ._ ,._ , , , ._ . , �. <br />�_ _ <br />_ _ <br />_ _ - --_ _ <br />The undersigned owner hereby ngrces lo hold an,i savc harmless Ihc City of <br />Everell from ony and all daims for damages ihoi �ay arisc 6emusc of the <br />instollation and maintenance o� the imp�ovemcr� here�o applied icr a�d <br />(urlher ogrees �o u.nuve some upan notice from the G�y nnd to reploce all <br />pub�rc properly damaged Ihereby. <br />N�i':��.r Ui ;%�N /'�;�,� un.�U��r. <br />�/��/i�,_' Lfif,.7)-,� .�- <br />-� _u, �L•�r• /<.� <br />Inepecloi s 6fgnofure , <br />Date <br />everett <br />��l ., —% <br />Approved By <br />Dale Approva <br />,� . <br />'• �!i � . <br />r,^ -- _--- - <br />Variancc Required <br />Yes <br />No <br />.,� ,J'' -���.<� , , <br />, � l � $ignclure af Applicanf <br />�� <br />, i . "% <br />j �� ' �% <br />Address <br />,� � -'' �- 7/�'� <br />ielephone Number <br />_ _ _, �, <br />Dale <br />s L-ia ; �a — <br />Fee <br />DEPT. APPROVALS <br />J � <br />!�ngi�ecrs <br />`Naler - <br />Slreet _ <br />_ . . ' - , . , � �. <br />� <br />