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_ ° � -� <br />Permit No. - � �._: _.-.:-�.=-:..-�--- <br />CITY ENGINEERS <br />EVERETT, WASH. <br />The Undersigned <br />A,PPLICATION �OR DRI�'EWAY FFRMIT <br />� � � � <br />` � / —' <br />� ` ' . �,i . <br />.� . � �, �- <br />� i <br />� � � r - <br />�, I� <br />Hereby applies for permission to r" ' ''i ��''� —' <br />everett <br />�_ a . � �'� <br />Approved Ry <br />�i' fi�F-,E' -2�197D <br />Dale Approvc <br />1 <br />; <br />_�-�,_� ,_ - <br />_ , �� � � �, , <br />_ !L�l__L�1_- <br />The undersioned owner hereby agrees lo hold and save hormlesz the City of <br />Evereff from any and all cluims for damages }hnl mny arise because of Ihe <br />installalion and maintenance of the improvamenl herelo applied for and <br />furlher agrees to remove same upnn notice frum the City and to reploce all <br />up blic property damaged }hereby_ <br />(2R�.v�•.�av. _:�eCTroN � (�.p��VC\JAY.SECTlG�N.._: - <br />(1�10': �SCRL� ) � <br />� y•,^~ .1_ "'�_..'_ .� L:k' _ �`�� <br />� �.+__..___.�Y�..- � <br />Inspecfor's Signalure <br />S/Ti'� C.�,�.�.e�J �O�3�ZC� <br />Dale <br />�1�.--- ""-" =.,� <br />; <br />�b:` i=_�_1 <br />._..�._.. ._._ _ _____.. J <br />��...�.... .. _.__ .. _.�..�_�� t.-�- t <br />e... . _ .. . � . , . ..... ... �_. ._.._;�__1 <br />� y=r..�._..__.i <br />� <br />i:)�•'.� <br />Variance Required <br />Yes..._ _...._......_.... <br />No._.__ ...__....._... <br />i 1 <br />�r t , _,,�_ � <br />Siynafure of Applir.anf <br />'' <br />_.� <br />-- Address 7_/,_��../�'.i'. /�j i <br />_ � �c;. L�O�+�I/� IL A: �%�i'// <br />� �� ��., . . ,,� J � �, <br />� ielephone Number <br />j/ — ,2 3-70 <br />Dafe <br />$ '✓ -�_.1 '� <br />Fee <br />DEPT. APPROVALS <br />/ � G /��/Tr7 <br />Engincer � — <br />Waler <br />Slmel__---.—l� ��—../��'; _- ��r _ <br />