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=<'"y. .i..� :� \ l <br />Permit No. 'r'.._........------.---- <br />APPLiCATION FOR DRlVEWAY PERMIT <br />� <br />, <br />, <br />everett <br />/�� :, <br />�ITY ENGINEERS - ,;- � ��,�,p �� <br />EVERETT, WASH. � ' roved ep <br />� � �' \ \a (�,�_ <br />The Undersigned ���' U'' �� Date Apprcved <br />, <br />Hereby applies for permission to /�% `� �``� %' � � % ���'� l ' ° ^-'` � � '� �' � � � � '�"� "� f � �� — <br />,. <br />A� 5�>.�f �:;:` �;`�'� !)l� i�'��— ���; s� <br />l/_ _ r-, ''%'�% G �" <br />At the following location � � '7' � �` ' <br />� KETCH <br />IWork to be done) <br />�'R�VIpE FOR _ .__ � <br />1=i�OFER DP•AINAGE <br />� <br />—1 <br />� fU� (� e � <br />-�; <br />GNECKV�ii:"'�=������ _ <br />�t-r�r cr�. .�f-.l' _ ... <br />l�.,. � .. . „.��-.11. <br />�Jl�,l�.1 , i. �.. _, . . . . <br />S � , ' , <br />37 <br />The urdersigned ownor hereby agrees to hold and save harmless Ihe Cily of <br />Evereu from any and all daims for damages thul may arise because of the <br />installation and maintenance o( the improvemenf herelo applied (or and <br />further agrees fo remove same upon nolice from Ihe Cily and to replace all <br />public properly damaged thereby. <br />�, � <br />• _ . / <br />_:.-��a �/-�; _ � :�� �.*-_c.. 1.2�`".c. <br />� Inspecfor's, 5'g'nafure , �'� <br />/ / <br />v� ='�i % _ <br />Ddte <br />Remarks <br />y2 ^'D ST <br />,: <br />i �, <br />-/� ,9�� .�'�-�-,-_ <br />,.� <br />.�5 � ='"' <br />Variance Required <br />Yes... _....._. _._.... <br />No_. .__.._._... <br />- � � � i�. / <br />� 1� �'<-' '���/�� ' / <br />� � �-'Signalure of Applicanf <br />�. � ,_ ,_ j �; �. <br />Address � <br />-:� - �,-i: �-9_ <br />Telephone Number <br />Dafe <br />s �� � :�- / 1, � <br />! r ' J ? <br />Fee - � "� �J �. <br />�� <br />� <br />DEPT. APPROVALS <br />� � � i �'J <br />Engir,sers ��� � �,s:: `�� c -- <br />y H <br />Waler <br />�t; Streel ! r�, . . � �i�`�� � _ <br />� <br />('.-: ..,,_r,��.:�.::}i ons _—. _ "__._ . .. '--___... <br />