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Permit No..�.-�-.�.✓�."'�...--- <br />APPLICATION FC�R DRIVEWAY PERMIT <br />everett <br />CITY ENGIN�ERS _._.����-�--z <br />7G�_.i:�� i' <br />EVERETT, WASH. Approved By <br />�"���H��',P /.�, ��r7/ <br />The Undersigned .�i�FLF_ /V �/I%02 �'rJ�i A(2 17 _ Daie Approv— ed � <br />Hereby applies for permission to �' �'�� �) N� A Db I T7 0 N o�ITO ,E,}�/ST L��', <br />At the following location �� z5'�' ��'- � ST <br />SKETCH <br />IWork to be donel <br />_ _ __ <br />S�ND ST <br />The undcrsigned ownen c�reby agrees lo hold and save harmless the Ciry of <br />Everell from any and all claims for damages thc' �nay arise because of the <br />inslallalion and maiNenance of the improvement he�elo app!ied for and <br />furfher agrees m remove same upon notice frem i5e Cil; and to replace all <br />publir, property damaged Ihereby. <br />iva••�<,Y. __scc.r.fc� <br />(wo:-::-scnce' <br />��'`�;�__.�` _�-,.—f �.� _' ----�/' <br />• �.`..� � 5 !t <br />,�`��Fb <br />Inspeclor's Signature <br />;� i,�7z= C if�C.�r� y/-� �I� <br />1.7a1e <br />Variancc Required <br />No..._..__.....___. .... <br />.t, + <br />�--r e I t?,,�J /Y1 � �' le � �: � �;,,�".�I��Y'�i <br />`� <br />l ;�, �.f h;�; � � _ <br />t' i � �' - 1: *.. �_U.. <br />Signat re ol Apphcanf <br />�� j �� ��S' .1.,� E�� X � �. r`"'w' <br />Address <br />✓ � ". � �% <br />C� :-w ,� �.,a T- �._: <br />ielephone Number <br />Dafe <br />`� 02� .�.:/ 9-9-7/ <br />Fee <br />DEPT. APPRUVAL; <br />Engineers '���n ! � <br />Watcr �;:�,t T <K 9-/.f-7/ _ <br />Slreet '-- =. --- _....__._ .__. <br />