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. . - -77_3 <br />Permrt No. _.....,�_... � ............... <br />CITY ENGINEERS <br />APPLICi�TION FOR DRIVEW�Y <br />.. , <br />, <br />�.�r��Ft� � <br />PERMIT <br />everett <br />. � <br />� �.�, <br />�'—� pproved By <br />EVERETT, WASH. \ J )- �.I t � f-I iV .� /���/ %9 �%%Z <br />Dale Approved <br />The Undersigned � 0 F=� `� n N S 7 l) i� f3 <br />Hereby applies for permission to ^� u s 7' 2 UCT A ZQ � D/ W <br />At ihe following location �^^' —'�� sT P� aCE S tn/ <br />SKETCH <br />IWork to be done) <br />J I sT <br />PLACE <br />The undersigned owner hereby agrees lo hold and save hormless the City of <br />Everett from ony and all claims for damages thaf may arise becouze of Ihe <br />installalion and maintenance of the improvement hereto appli�d for and <br />iurther agrees to remove same upon nolice from Ihe �ity and lo replace all <br />public property damaged ihereby. � <br />l� ' ° <br />1,��� �f � g,7 v <br />Inspeclor's Signafure <br />s,Sl'T�h CH/�C.�•F/J '� /(o /. <br />Dale <br />, <br />-; <br />S, VV . <br />Zo' l <br />5� �n a.- s.w. <br />� <br />z"�S�NA�r ! <br />�(P�s� cu�'�� <br />;h � \ <br />; ,:; . <br />Variance Required <br />Yes. .........______..... <br />Na_ _ _... ... . _....._... <br />I'- � <br />c���-�,� -�` _���� <br />Signature of Applicanf � <br />"..� -�" � `��_ ��.. <br />_��:- ��-�. _ <br />Address <br />%�� � ���s� si� v�2 Gi� �v-_' <br />Telephone Number <br />/-2S-7L <br />Dafe <br />S /Q °= �-L�,a-��-F_ ��y ._' <br />Fee <br />�D�EPT,^. APPR�OVALS , <br />i�1Y.C�i�'.(! t"a_ � =2�k�� � <br />Engineers � � c � `— <br />Water r`'->� i - i�' ' �� Z-- <br />Slreet —. � -- - <br />