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. �. ,. <br />Fermi! No...-�.:'-. � .:..:::.:.....� <br />CITY ENGINEERS <br />EVERETT, WASH. <br />TheUndersigned �i'���i���!� � " <br />Hereby applies for permission to—� <br />At the fallowing <br />SKETCH <br />IWork to be donel <br />APPLICA710N FGR DRIVEWAY PERMIT <br />The undersigned owner hereby agrees lo hold and savc harmless the City of <br />Everett (rom any and all claims for damagec that may arise because of Ihe <br />installation and maintenance o( the improvement hereto applied for and <br />further agrees to remove some upon nolice from t!ie Ciry and to replace all <br />public property damaged thereby. <br />,; ,-yi� i�Z =��7U <br />' flYt3TE �����r ' <br />CHFCK WITH WA7Ef� <br />f`=,=7. Fr?Gl 1';'.4TER LINE <br />L�?C:��� L":; S °[FOf;f. [Y.Chlhi7�i(,N� � �„Idi/1q <br />J <br />l.t. i i?.� - � �_. <br />Inspedor's �Signalure � <br />Dafe <br />Remarks <br />% <br />� <br />Lf7 <br />� <br />everett <br />� � <br />-- qPProved By <br />i , . � <br />I'I�"ii.l 1 � , i`i,l: �i <br />- Dale Approved <br />�� �- �.�'`-1 i I� I C..A� I C�M1,� <br />,.�` -.. <br />� ,._ <br />C�.� ,�. <br />. . '--�� i�nlEii <br />, . ". : -. . � . - - � � �.,, � <br />.. , , .,., .��,, <br />Variance Required <br />Yes ..... _..._._.._... <br />No__...._......._._... <br />y.� . <br />�� / �/,.�,),.I.• : . - % .�,,ir„�,.1 . , . t.....i <br />� � $ignalure of Applicant <br />�' ' / ;,Z �l �G�- G�'.�c,=' - u�- <br />Address <br />.��� `�; =%'l <br />Telephone Number <br />�� - � 3- L � <br />Dale <br />_. <br />s N�, i� ; � <br />Fee <br />DEPT. APPROVALS <br />Engineer - � - �� �' <br />Woler r �'�- <br />$fmM .�1�....,. i,�--.'i nG..L�./..�1..� <br />�..;I➢Rl�.�.•':"II�Jfj�S_T.l-.'_ _'_._"__._._-__. <br />