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��� <br />� r-, ..7 .�-- <br />. � <br />. <br />Permit No. _ .-' �-� �_ �,' <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETT, WASH. <br />r--�. ,;:. . , - /. �.�-_. � <br />/� � / ,�' ��t� r-`r �:� :� � <br />.�/ � , � �`� � <' r [....�-, <br />The Undersigned � � 1� � <br />Hereby applies for permission <br />i <br />�_ �,-, �; f -� �-,�� /�—"_a..�.._�•» _=r'. <br />At the following location <br />SKETCH <br />(Work to be done) <br />27r" AVE. W <br />� <br />everett <br />, �• <br />_ � ; � <br />� . �=�.�,, , <br />Aaproved By <br />�/_ 9_ 70 <br />Date Approved <br />__ -_ - -- <br />- EXISTIN6 D(�AIN <br />�nn1G, Ofz/VE-, <br />20' <br />_._.... _�.--.�- <br />__. -- I <br />I <br />, <br />5/23 <br />0 <br />R 5 ----- <br />�5___ __._ . _ __. <br />The undersigned ownen c�reby ogrees lo hold und savc harmless the Cily of <br />Everett from any and all claims for damages thal may arise because of the <br />installa�ion and maintenance of Ihc improvemeni hereto applied for and <br />further agrees lo remove same upon notice lrom the Ciiy and to replace nll <br />public properly dama�ed Ihereby. <br />Inspector's Signafure <br />.�,� 1 <br />� /T!' � /iL�.Cf_i� /i/�.�1�i% ��' <br />Dale <br />..s•i,e�:�:�.-::_7. �?..,:'�'s� <br />-� <br />Yariance Required <br />Yes.. .... .. _..... _.... <br />No. _ .. . .. ..... <br />�1�j�� -�/t �r,��.<< <br />/ - $ig;iafure of App�icanl <br />� / <br />- ' � ��� —''�; :<�j /�-1 . <br />«<- <br />Address <br />.," ' _ . , "%� <br />ielephone Number <br />i_ j'-• %�:J <br />Dafe <br />g �' . _ �-�`�F, <br />Fce <br />DEPT. APPROVALS � <br />:'%�i! � 1 � %. ! . <br />EngineerS, o `... � � . �/�^"" �>;/C . <br />Water.� ,.}��o - <br />Slreet <br />r� <br />---- ._ .. . � <br />------- � ,,, - ��;n . � <br />