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.� � __._ _.,._......-__• ,. <br /> � Lf C1 I <br /> Permit No. . _ ,___.....;. <br /> everett <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> CITY EP�G{NEERS � _���°-C ��, <br /> �_ G'�.� <br /> EVERETT, WASH. Approved ey <br /> _ � <br /> The Undersigned��wf'�QD � BAE2 G C EN, ��..oNST. ( owNER TaN�/ VI �i_ E �� Date Approved <br /> Hereby applies ior permis<_ion to ��NST12 U CT A Z �-/ � (Zf 1�/ ___ <br /> At the following location 20 i � - �/7 L'- 57—. <br /> SKETCH � <br /> IWork to :��� donel NO'fE: INST,,�i L I�" CULVERT Ul1L�t_R J_,;'y,/ . <br /> I <br /> � � i <br /> � � � <br /> ! �i <br /> \\. <br /> \ `� <br /> — � \ <br /> � i � 'i \ <br /> S'-- — I "' , (l \� <br /> ��a (.A� �, LARIVF ' ��� � <br /> � <br /> q'j O 1 ee• <br /> Q <br /> 2oR-Y7� <br /> 2?' � ,1\ <br /> lY � � <br /> 7; <br /> � <br /> , \ n / <br /> � i J (._J �\� V �r''�� l-\ 7 <br />� ^ <br /> The undcrsigned owner hereby agrees to hold and save harmless thc City of Variance Requireo' <br /> Everell from any and all doims for damages thot may arise because of Ihe Ycs. . _ _. .. ... <br /> insfollafion end maintenance of the improvement hereto applied (or and No. . <br /> fur!her agrees to remove same upon nolice from the City and to replace all � � � � - <br /> public pioperty damaged Ihereby. <br /> r�. <br /> i ( i{ <br />� <br /> ii��' G�.,`� �.'. i � ' . i . <br />'� Signafure oF�Applicanl '� ' <br /> � /' _ <br /> r <br /> ��D �t _ f � �('�^ < --- <br /> �: <br /> Address <br /> ;�)�., . <br /> � � <br /> J;a �ck-L� C J' �'L a _ <br /> Telephonc Number <br /> : ��-q3t��� <br /> Dote <br /> inspedor's Signafure 5 � � �� :.YL� ,�.y' <br /> .— :� / /, Fce <br /> �l:f C_:=.�Ci". � �.� , , ��� � ���, <br /> Dale <br /> DEPT. APPROVALS <br /> ,:j-' <br /> Remarks Engineers � ,�'�,�i���-��'�:.'G��.S?�-��� � -'����' <br /> Wafer �� �=� ''��. " <br /> --- Streel <br /> Communiml'�ns_� � r''`'^•�.� -- . <br />