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Permit No. 5...--:-'-......,:......._.... <br />CITY ENGINEERS <br />EVERETT, WASH. <br />-<, <br />U �._ <br />–•� i <br />v �b <br />� r� <br />, <br />s y <br />O <br />`J <br />APPLICATION FOR DRIVEWAY PERMIT <br />everett <br />. _ �i' ��`. �� <br />Approved By <br />�✓3/zUAiC' y /� %/ <br />The Undersigned - � � � � -� ' ' ; �,nv '� I �� i r= � � T _ ! � '� � ) Dare Approv� <br />Hereby applies for permission to ��� ""'� <br />At the following location I � ` � � ' ' � i �� � ` �=� (� � � ` • � � � ' � -� r � - � � r � : I '. <br />SKETCH <br />(Work fo be donel <br />�� <br />___ _ - _ , -T- _ ___ - ----- -' ;, ri � r <br />__ � , <br />The undersigned ownen c�reby agrees to hold and savc harmless ihe City oi <br />Everett from any and all claims for damages that may arise because o( the <br />inslallation and mainlenance of thc improvemenl hereto applied for and <br />further agrees to remove same upon nolice (rom Ihe Cily and lo replace oll <br />public property damaged thereby. <br />DRIVF�J�0.Y:. S�CTION:l:.-" <br />� — �, <br />�_i_.t'- .._._�.�_'� � w <br />�� 'E.� �_ <br />p Se�lt <br />Inspecfor's Signafure <br />�;r.y Li�r'C',cr> ��4 �%/ <br />Dale <br />Rema, ks <br />'? �' •.1 <br />� � ; ` <br />._..�_._... _..__._.._.��-- <br />! uk;�; :.,:,,: secrwN <br />I c;so scA��:, <br />��.5. �R MY <br />RE�F ��'�� E CE"ri�rrF;l <br />_ �I <br />___ _ __----= ---- — .- u , _ _ <br />� <br />� � F 'F, i <br />� � . _ _ _.. __.._____�.` °�„ <br />' 1. <br />,. <br />_... <br />'` <br />• .. ..�.,__r---__--__ <br />_._---- <br />------ � <br />Variance Required <br />Ycs <br />No _ <br />�: , C` . •� c /-> /L� A .G-,-� '� c: <br />��;f �f. <br />a,- ���� L( ; ,�_��_� � <br />Si-nofure of Applimnfi <br />// � ��-c�r-, � //„Aa��s�cc <br />Address <br />� ,q � C�vj A . (.C:�l{ Sfl /�✓C:TG�U� <br />� 5- F-: - ,�. T� v _ <br />iclephone Number <br />� 1�� ���� <br />_ <br />Dole <br />S �a = P..�.�1. <br />Fee <br />DEPT. APPROVALS <br />–�i' '' ��/CCc/' „� / <br />Enginccrs' �— � ���� <br />Waicr � %"!=.«._,-. _ � { � "; i _ <br />Street_ <br />i,' i', <br />C:nm,�•,t�c:ifn•�s---_ --- - -- _. _ <br />