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�::::: `.,...• <br />_ ;...,, <br />Pecmit rlo...�U 1 . : ''.. <br />-� <br />BRIU�-E P/�RK <br />APPLICATION FOR DRIVEWAY PERMIT <br />everett <br />CITY EI�GINEERS �i / <br />�� �. /�v� <br />EVERETT, WASH. -� Approved By <br />L�"TC7E�R � `'� ��r// <br />The Undersigned .TA P� F.5 F. (� A MP (i E_ L L Date Approve <br />Hereby applies for permission to <'n NST• � l� G/4v� <br />At the following location 3� �% �- ���-"� P �-. . 5. L/. <br />SKETCH <br />IWork to be donel <br />52 ND <br />PL AGE <br />� <br />�IaT.�1�� I"L'� DR�vrJ <br />Tlie undersigned owner hereby agrees to hold and save harmless Ihe City o( <br />Everetl from any and all claims for damages that may arise because of Ihe <br />installation and mainlenance of ihe improvement hereto applied for and <br />further agrees fo remove some cpon no�ice from the Cily and to replace all <br />public properfy damaged ihereby. <br />,:•r� <br />� _ ' <br />Inspeclor's $iynafure <br />�511�.f�S,���) ����i�7i <br />Dale <br />Remarks <br />S.VJ, <br />Variance Required <br />Yes___ __._.._.._....... <br />No._..__.....__...._.. <br />^ .; <br />i�. �,K�a !"l `a�,�-�E-.1t r — <br />�, $ignafure'o( 4pplicanl <br />i �/ Jt ti d � <br />(✓- C'. � ��L��l.i� .. G .!Y" �'-�f .e� <br />Address <br />:j � .� - 7 .1 C- �/ <br />TelepF�ne Num6er <br />��9-�/ <br />Dafe <br />S p �� :�r'.�/ ��' - G'� �� <br />Fee <br />DE�T. APPROVALS <br />� �'�� ������ <br />Engineers� ��-��''✓ � �' <br />Waler � � ��' -`i — 7/ <br />S�reef <br />Cemmun�cat°onc � �� <br />