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J _ �_� <br />Permit �lo. _�-'_S."...'.`.'.-:.._.. <br />APPLICATION FOR DRIVEWAY PERMIT <br />everett <br />�:ITY ENGINEERS .;-""11�"r�-�' � ����-�i'-- <br />EVERETT, WASH. Approved By <br />�,s�. � - i S� �/ <br />I i v <br />The Undersigned M Y F'' ��i �v� Dale Approved <br />�1 i <br />/� .��T %1 ' � / <br />Hereby applies for permission to � �� ;'�� <br />At the following location ��� � —� ` � �/ �' �''� ' ��� ' <br />SKETCH <br />(Work to be <br />LiJ <br />-� <br />� <br />_J <br />4 <br />The undersigned owncr hereby agrees to hold and save harmless the City of <br />Everell from any and ail claims for damages that may arise beccuse of the <br />instoliotion and mainlenance o( Ihc improvement hcrelo applied for and <br />further agrees Io remove same upon nolice iron. the City and b replace all <br />pu6lic proeerty damayed Ihcreby. <br />� ' — Dr`i.tt'6ti ;.Y. 'LCTJON <br />(?�1t1� ";.,CAL�� <br />} ; }ti N'� <br />�i '^� .. ".. . . .. . ..�..���� <br />� � __ MiJ <br /># --- r; �.�:. �_�_.� ._. _ -------- �l- <br />� <br />r...,_... _.�_.._.._.._....._._ <br />Inspeclor's Signafure <br />�Llh �',v'6l.',�F.i� �.��'7/ <br />Dale <br />kemarks <br />Variance Required <br />Yes.. _....... _ . _ _.......... <br />No..... _. _.. .. ...... _... <br />��'/ , <br />/I � .�.�G-C°«�w— <br />�.�%, Signalwe o( Applicanl <br />D i� ��s .� <br />Address <br />�J.l—� JO'� <br />Telephone Number <br />I�"So <br />Dafe <br />� �\ 5 �i � ���. G'��; r�� �l � �-� �;/ <br />/ \`_\ ,�i\i�r.� -) � .. <br />� � Fee <br />� <br />� � ��,�� �,�, �� , , � <br />S�, �,����;F � 1 �' <br />i <br />GEP AP'rROVALS <br />� �� � � � , _-- � ! , � � , <br />� J . � <br />}'��\,�V Engineeis`�` , " /I� <br />✓" � Waler .:Gr�L«<.� G - ��J � - 7 � <br />,� .__._ _" .___—_..._. __. <br />�ireet_�":._�.._. , ... <br />:� r <br />