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Perm.it No. ��....`�. `-' <br />APPLICATiON FOR DRIVEWAY PERMIT <br />everett <br />CITY ENGINEERS --�„i,c� ; ` ;;^y, �;;; i_'�,.. <br />EVERETT, WASH. ,�' Approved By ,/ <br />i <br />._%i .i=���U/ <br />The Undersigned I��kI-P�-1 1� ��''^TL--�� Date Approved <br />Hereby applies for permission to �01.15Tf2.- 2-Z� � IJJ� �� � Sk ti"� �7{� �'J� rl�.' �� <br />? � i9 ,{ �., <br />At the following ��cation �Z�� '� -� � ``'t Zf�=" -- <br />SKETCH <br />IWork to be done) <br />l i(!�:% /!,'<: _ : r_ �/f'�>j' � <br />� _. -, r. , - : . p� �✓ , <br />• �� / <br />_\ v�� <br />j•zy✓� � � s !-b7 13 <br />The undersigned owner hereby agrees lo hold and sovc harmless Ihe City of <br />Everetl from any and all claims for damages that may arise because of the <br />installation and maintenance of Ihe improvemenl herelo applicd (or and <br />furlher agrees to remove same upon notice from Ihe Cily and lo replace all <br />public properly damaged therrby. <br />ORIVEWAY SEC'fION <br />NO SCALE, <br />i�-� r 2S -� <br />��_ � I" LIP <br />i <br />� 30�.�. .T'30 '1 <br />�� a�rn �� % 3' � � Kc-� �dt� <br />Inspector's Signalure <br />� <br />; i=' c './��. A� � li�� � i, <br />Dale <br />Remarks <br />12��C�,�,cL�� r_ cvLV��C <br />1 C! �� �-r- 1 N-> T A L4F `,� <br />Ne <br />SCAI F <br />Variancc Required <br />Yes...._____ <br />No....... _ _... <br />�Lqt.�hi �:'1�2T�.C;�C <br />, ' ��� `/ � r <br />F.s�:N:: l_C_a �CC:..'J!� i <br />$ignafure ol Applicanf .'� - <br />.J <br />r7c� G 1'-�� �1Y'EL' <br />Address <br />����• `"iC`�Lri ` <br />Telephone Number <br />. <br />1-, � (� <br />Dafe �� �L� �.- F�.. <br />5 ` i�j�' . ��'�` � / , ��..`_'— <br />� Cc � D �l-..t �'�re„C. , Fee <br />u7• <br />3 -4 -7¢ <br />DEPT. APPRnVALS <br />�' ��0��7 312��7�( <br />Engineers � �`""� <br />Water � � ., r (;��u: <br />.�� �$Ireef "�-i�/ �- �ol�� ;,I.,..1— <br />Cnmm,ucicr'ions__ - ___ <br />