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Permit No.-.,�.._ �.:-�-•--=::..:.. <br />CITY ENGINEERS <br />EVERETT, WASH. <br />The Undersigned <br />. . /l IC � �'�I <br />everett <br />APPLICATION FOR �DRIVEWAY F'�RMIT <br />Hereby applies for permission fo ' ' �' " ` �' '` <br />At the following locution - '�' �� '�1— = — <br />SKETCH <br />(Work to be donel <br />c�sT F�� A� <br />� ! �� E <br />, <br />� <br />� <br />i:_:. _:_�:- ,\ <br />S, �/ <br />G�O �....�_____�_'..:.... <br />�•5� <br />Thc undersigned owner hereby agrecs fo hold and save harmless the Cily of <br />Everetf from any and all daims for damages that may arise bemuse of Ihe <br />inztallation and maintenance o( Ihe improvement hereto applied (or and <br />furiher agrees �o remove same upon notice from the City and to replace all <br />public property ciamaged thereby. <br />I V�' \v'r1Y_ _� S E C T I O t�l-.�-- �- <br />�� „ —+�� <br />,,. . _. <br />.-- - _ ___ ,-�., <br />�....__�...Y��_ ._ `._..�_ <br />:'1.� <br />Inspeclor i Signafure <br />� �/'T� t� Nf=L'.ri'.i� "�-� �7% <br />Dafe <br />Remarks <br />�k <br />- �.�?'���1: � <br />�- � Approved By <br />/ f �rii?r'/�//� ,�� �-/ /y'�� <br />Dafe Approved <br />%— <br />« <br />� <br />--------------- � <br />/�NrTE- _ - r.i` y /CONCR�r['/ <br />"�ih+T �.. , . . � <br />i� <br />3 B' <br />.3Co�/-5/� PL.CIJ <br />Y <br />J /. <br />";EiC�� <br />V E��AY. -._ SBCS1Aro <br />(rao sce�c�) <br />,. <br />!` ,. �.,1 t^-$9 Y <br />� _ ___�. <br />� 6 , ...�._ __�.__. _.. �__- <br />Variance Required <br />Yes_ .__.._ ................ <br />No..... _ . _ _ ................ <br />� " � � <br />r"' / <br />�• / �` <br />l`� �r�'J/9 fr%i.� ir.' . e i' c`. � V <br />' Signafure of App anl <br />� �`i(�"%� �7CO ..�, �� i� <br />I! AdJress <br />Water <br />Strcet. <br />�-' ., ._.. y7�/�" <br />� a��, - <br />ielephone Num6er <br />\.!/%i.l��, C�/� /� �/ / <br />l/ � C�o Dalc <br />i � <br />S.� �._.�:� - �Z_�� :�i/7/ <br />: i'�'� <br />Fee <br />DEPT. APPROVALS <br />l.,'�' i/� . <br />G <br />