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�/, � .. , . 1. � <br />Per.mit No. ..:. _r.:......_.�:....-- � -- <br />APPLICATlON FOR DRIVEWAY PERMIT <br />CIIY ENGINEERS <br />EVERETT, WASH. <br />everett <br />,; <br />/,C1 � ( 4 i _ - : <br />Approved By <br />_ ; „ <br />' : i�.. ;�/. ,�C%"� = + <br />'��.'i�! ; l _ <br />t�1 _ � �` ) ' ' / � 3 � . Date Apprcved _ <br />The Undersigned ' - � ' > r } ' F " <br />� ..' <br />f-lereby applies for permission to <br />( � fJ <_. �>' ;':.. '� � i�•.. i ' �iJ C /41 "" � '" i''d'•/x�� C.��"° � % L�. t �/,� ;+ , <br />At the following <br />SKETCH <br />lWork to be donel <br />�; � G-i!"� <br />_.� ..�. -:i , ` cJ `'C <br />I__.,T <br />�J <br />� <br />1/JST/!G-� �2����N�-• GULVE <br />��� f , �, <br />� <br />i--!— - - •-- — -- <br />— �— — — - 5 4 �� _ 5T� S , �, _ _ — <br />The undersigned owncr hereby agre .s to hold and save harmless the Cily of <br />Everetl from any ond all claims for domages that may arise becouse o( Ihe <br />installation and maintenance of the improvemeN hcrero applied for and <br />fmther agrees b remove same upon nolice (rom Ihe City and to replace oll <br />public properry damaged thereby. <br />DRiVEWAY SECTION <br />fV0 SCALE <br />� Z s � ----� <br />�_� I" LIP _ <br />� 30" � _3���_ � <br />i <br />� : � . <br />� .rn,�/£ L -G - � s� .�'� �.--� <br />Inspecfor's Signolure <br />>IT/= /'iI�"c��GD 7—;�-7 � <br />Dale <br />N �� <br />� ScP,I! <br />r' R'E 'f <br />!^Fi'lDC�Ptl � <br />--- �-- <br />--� — — — � -a. — ._.. .. <br />.1 <br />�`�.c(JGE cY.— <br />VAU'7 <br />- — — — � -- <br />�"i" ' <br />Variance Required <br />Yes. _... _ _....... _ _...._. <br />No. ..............._......... <br />� / � �' <br />i(���� (r. �� :. �.�., <br />Sign re o( Applicanf' � <br />�!S� � '/ -7 !'r"��i . �t/!� f��:�J.;-<� <br />Address <br />;s t-3 - � 2 L' a. <br />Telephone Number <br />Dafe ..� - � - ;%"J <br />�' t' %;1!I) -� , <br />s l .� . -=f �1�` ����- <br />%=�� 1—�4-� _ <br />Fee <br />),/3= 73 <br />� i DEF7: A�PROVAL�� <br />� �,�'L /�-t;-i�*z�,,- ��is /J -> <br />Engineers — <br />Waler " - �-:= . <br />Shcef `�i�-�� I � �2 ". � �---��� ._ <br />Co mm o-�, i.;: iirns m—.;�-�..�j. <br />