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/ !� _• rr y � <br />Permit No. '-�'� <br />............... . .. <br />APPLICATION FOR �RIVEWAY PERMIT <br />everett <br />CITY ENGINEERS �' � <br />t!�" _� <br />EVERETT, WAJH. Approved B-yLt� <br />f -- Z �' 7`!� <br />The Undersigned � F�� �.-- M �� R'� E� Dare Annroved <br />i <br />Hereby applies for permission to CO+.�ST� � z S �l I!� E COIJC (� .P k�.1 V�1� 1��i <br />At the following location 3��2� =54��i� � r. �'" '�+ <br />SKETCH <br />(Work tu be dane) <br />3 <br />� <br />d <br />p <br />a <br />M <br />� <br />iRE NYD <br />(� o-r � <br />--.i <br />3227 <br />35 <br />q5` <br />B L.K A <br />QR!DLE �/-\RK- <br />! h! s T'i9 L L. I 2' � c o N C R E.TF= <br />�uLY��t:.7 <br />u1-�o- - i -- w— -w <br />_ � / _ _ WATEF�' VALV <br />_ _� — �.— -- -' <br />5� �TF� s-1l��'�_�_"�_- <br />The undersigned owner hereby agrecs lo hold a��a save hormless Ihe Cily :..` <br />Everctt 6om any and all ciaims for damag�s that may arise because �f the <br />installalion end maintenance of the improvemenl hereto anplied for and <br />funher agrees to remove same upon notice from Ihe City and to replace all <br />public property damaged Ihereby. <br />DRIVEWAY SECTION <br />NO SCALE� <br />�-------- Z5' <br />I" LIP <br />� 30„ �— �3�,� <br />) <br />�(�.� �n � ���9/i 5� <br />�nspeUor's Signafure � <br />��/i!-= CNF_��_i�;=i� �'�- 7-?�� <br />Dale <br />�y <br />�:�;:... , <br />Variance Required <br />Yes. ...._.... ____..._. <br />No..... . _ _..._. _......... <br />n � � <br />\ � ` J <br />�� ;, _� �f' ._n,�r.nP� <br />Signalu�e of A{ plimnf <br />���� -- �r ,_' �` 5, E�' <br />Address <br />��u �r = �/%�i,�-- <br />Telephone Number <br />--- Dafe ���0 /—/-'' �7 J <br />r <br />s i '�:. - "o � �%:�. -_ <br />l l 1{ ��- Fce '� �/ys / <br />j� EC. C� �, <br />�' DEP1'. APPROjGALS <br />/ 1 <br />/ <br />Engineer '�� � ��'� � � �� <br />Waler L' :l�' !� �''".'''E" <br />:'�r�r� - --' ..'. -------'—'—'- � ----- --- <br />