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,� � � � <br /> Permit No. . L.[.._. ..:. ...� eVf','I'ett <br /> APPLICATION FOR aRlVEWAY PERMIT <br /> � <br /> CITY ENGINEERS p ' � � ; . � <br /> EVERETT, WASH � Approved By > <br /> /1.�. <br /> �J. � ,i i �_� <br /> The Unders�gned��J � v '` " �' �� � %i � Date Appro�ed <br /> Hereby applies for pe�mission to �4�✓� T �'r�,'�./'//1��'> OI�E/f . �[�/_ " ��- ';,' � <br /> Atthe following location ��`F ��-'"�`r �T �0��: 7� `���'F%� -�Tl f /- --' i- =-- ;� — <br /> SKETCH PO�r ,�orE ' ' � ' "` <br /> (Work t� be donel OF-"F/�E TNF" PD,�'T DF �� YE,�ETT �'%�'' c � . _ _: ii :/ <br /> � Q[L �STs d�E,� No.�n^A< �n,v.��1,Eh'�='NCFG/-�f ;- ,,�/ <br /> ,'.� J(=�}�E�.S AS LGNG A� Bu/LD1NG EX�sTS . <br /> ��o� , To�AGE DOME <br /> � <br /> EX/ST/NG �2 � �AN. SEWER. <br /> - ��'���� <br /> EX/ST/NG / = <br /> HS'E55, SEWER ,f-`� � . � : ,•�; .. � :'.�' '- � <br /> GAFz�� <br /> ,�,-�rEN.�;J .NEW /¢" M✓, C, /, 5,s. <br /> c GaNG. j�'�" ��W. <br /> ^/� W /2" �a�o-our <br /> �--T-- — ,�,sei��r y <br /> � <br /> �_— � —_- - - -- - - -- - - - - - -- --- <br /> �4' uri`iry EASEn�E�dT ___ <br /> —�C—NEW � " M.J. C. /. l�t/�: �C" 32 ' ST• ,L? J. W. ' <br /> The undmsigned ownen c�reby agrecs lu hold and savc harmless Ihe Cify of Varionce Rrquired <br /> EvcreN from any and all daims for domoges ihat moy arisc because of Ihc . Ycs . . .. .. <br /> installalion and mainlenance oi the improvemenf hcrefo applied for and No <br /> further agrees b remove same upon notice irom the�Cily and lo reploce all - � � � - <br /> public property damoged ihereby. �� <br /> _ . . _ ;.� /� :f'i <br /> R � <br /> �7'G/': . i_ .• .- . � . . "L.. .. _ .: . ' . <br /> : �- J ,,) `� i,� .�, . �_�, �� Sigralure`o( k,�plimnl <br /> ;- J �-1G-a�-7tt� a�" - <br /> � �� �� <br /> r+ �� <br /> -'�7 L� :�C)t�. �:.'A'[- 'Y� Cc�-stir'' CN ��< " I /_- .' . ' . . <br /> � <br /> / v .y� �' ^'1 Address <br /> � .�17.' 6���-,� ����; .��- <br /> � , ���.�-� . �= . <br /> - �. � . �;- <br /> . . . , Te�ephone Number <br /> -Jc�.t�v_nr ,i 11 (`j-� (1 <br /> ' --�Date � <br /> Inspeclor's Signafurr, �--�—�- - -.. $ <br /> (ee <br /> Dale <br /> UfPi. �PPROVALS <br /> Remarks Enginners_ i '"� <br /> Waler <br /> l � <br /> p-r�, . _- ----- _. � . . . -- <br />