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/ J <br />_ • � -¢-o '� <br />Permrt No. ..... ..-- - ................. <br />APPLICATION FOR DRIVEWAY PERlv�IT <br />�erverett <br />CITY ENGINEERS �����y� <br />EVERETT, WASH. Approved ey <br />T, { �� �V - /y� <br />The Undersigned L�TT� � �-%'`=' � ^=='f'' " •"''� % '-' Date Approved <br />Hereby applies for permission to��� T � 2/-� VE L D/� / Ur''r ,��%"/'�1��//� i:= � y`��FaG,�G � _ <br />. <br />.—... .� ..,,��ar_ <br />At the following <br />SKETCH <br />IWork to be <br />�1 <br />— LJ S" U �" <br />ScAL� /""=So <br />aT. — �AJ — <br />20' <br />C/-�U.eC /� a r JE� c/S CN�_', ;�: <br />� . � S. <br />�,2,q VcL ��'!VE <br />����, vvC F- ,r-�c'��c. c_v:��c. c ��.�� <br />�o'-- -- - <br />�� — _ <br />�w <br />—� _ <br />The undersigned owner hereby agree: to hol? and save harmless I;ie City of <br />Everett irom any and all claims for domage: thaf may nrise beca�se of the <br />insmllation and mainfenonce cf the improvemenf her,to applied for and <br />further agrees to remove saine upon nolice from the City and to -eplace all <br />public properly damaged fhereby. <br />!$ ^; F' ,. <br />Inspecfor's Signafure <br />�/2`��r� l,C�[� �/,3�%, <br />Dale <br />Variance Required <br />$ <br />No. _ _.._ _...... <br />Signafure o! Appli nl <br />�� Cd �J�� <br />add�ess <br />Z.s'3 - ��E9Z <br />Telephone Number <br />�� �'/7 � <br />r Da�e <br />Fee <br />DEPT. APPROVALS <br />EngineeryUr ����/'>����71' <br />Water � <br />Slreef <br />