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�w% <br />Permit No. ��� � G" ! <br />_,.......... -- - <br />CITY ENGINEERS <br />EVERETf. WASH. <br />The Undersigned <br />APPLICATiON FOR DRIYEWAY PERMIT <br />a- <br />everett <br />�� � <br />—� Approved By <br />,z— z 8— 7,� <br />Date Approved <br />Hereby applies for permission to����� Q' �� U/ ���' G_�+:•_ t) 9,=' I— (� Q-Iv��VV/h''+� <br />At the following location � �2 � "- �—� —� ��' ' �' �'" <br />SKETCH <br />lWork to be donel <br />5? �'=' � L�iGLG ,�5�...�'� <br />The undersiyned ownen c�ieby agrees io hold and save harmless Ihe City of <br />Everert from am and all claims for damages that may nrise because of Ihe <br />installalion and mainienance oi the improvement hereto applied for and <br />furlher agrees to remove some upon nolice from rhe Cily and lo replace all <br />pu6lic propery �iamaged thereby. <br />DRIVEWAY SECTION <br />NO SCALF <br />�•---- 2� —�T <br />� j I�� LIP / � <br />30" � _— — °7�3� <br />C:4 �B/P �-1?-�`� �, f.@OZ <br />hispecfor�s $ignature <br />S.fr C -- .�� .J�:lL,%lj <br />Dale <br />Remarks <br />f. : <br />� � <br />Variancc Required <br />Yr.s. . _. _........ _. ........ <br />No_.___. __._..._..... <br />�%✓ ��'�sE�. <br />, <br />.,,.,-. � � � <br />-- :.... = °� v �� <br />Signa ure of Applicanf <br />i��� ;� -� '�'r'� <br />r' <br />��-�; �: ��- a� i r� r=�%�� <br />Address <br />_S�J `/ j %�li -� _ <br />ielephone Numbet <br />� �/ iy <br />� oo�� ' <br />5 ��, s"_.- '�. <br />/�G 't l? %�'�'r <br />Fee <br />DEPT. APPROVALS <br />..� <br />Engineers /�N/ �F_ .J�' ,�":. <br />Waler d . �� � Li.t;n <br />,� Slreet ' � � i n". ' <br />.. . .. - - . . i <br />