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. __.. .. I .,.' <br />Permit No..,.. ..:: -- - - �-�. <br />AP�LICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETT, WASH. <br />The Undersigned <br />Hereby applies for permission to e'��' ��Y�2- z� w;�'� <br />At the following location <br />31 2.a- — S�- -r �-- r -_ -r- � � � 1.. <br />SKETCH <br />(Work to be donel <br />54�'-' <br />' -- _GDC�K Ci F'l�V� � <br />Nn <br />S�A�E <br />3 21 q <br />� -- <br />�07 I� <br />everett <br />, , <br />� <br />��,-,.-._ �_ . �....;� �._ <br />G' Approved By <br />ST. i, :�.v�% <br />G� <br />The undersigned owner hereby agrees io hold and save hnrmless Ihe Cify of <br />Everett from any and oll claims for damages Ihaf may arise because of Ihe <br />inslallation and mainlenance o( the improvement hereto applied for ond <br />further agrees lo remove same upon notice from the City and to replace all <br />public properry damaged thereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />�— � S � --�'I <br />i" LIF _J <br />� 30„ ��30�� <br />/4� �.�(' / j �'�' � <br />, ���,� <br />Inspedor's Si�nafure <br />Sl"r'L-. C,;(-�ECY�1� /f>-::�-7_� <br />�a�c <br />INSTq L L <br />12'� Cc7NCRE'T'� <br />CULVErQ7" <br />��_c�_ -�3 <br />Dale Apyroved <br />Variance Required <br />Yes _.. <br />No.__ <br />� <br />� <br />„ � .. <br />„ � <br />1 <br />// <br />�—.li�.if7(_.;'� �l''.�:.r��__:; <br />� $ignolure of pplicanf <br />_ ,.� <br />-=� � =f F� / — � G _-- � : C. . '. <br />Addrest <br />, <br />":; j ,; -1� � �/`, <br />� ielephone Number <br />f-- ._ �,-' - `i � <br />� �, <br />�are y �/ ��C� � � } <br />5 � c.� • ""_"-�' ld"r � <br />�' r <br />�C."� ; r�'.� Fee <br />�''�r' I� � � ~ /l� -/ - %S <br />� // DePj �PPR�ALS <br />Engineers ��/l 'e K'`r_ �G � 'y �7 � <br />Wafer �� •' ,-��- �� <br />� i , <br />Streel '<'� <br />