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Permif No....�.7..-�p. /. <br />CITY ENGINEERS <br />EVERETT, WASH. <br />The <br />APPLICATiON FOR Di21VEWAY PERMIT <br />�� <br />everett <br />�� ��� �� <br />�/ Approved By <br />�— %`L-7� <br />Dale Approved <br />Hereby applies for permission to �O►,ZSTY? � �C � 3 � �-�-� � ``' ��-- GE>!�I �•i . bT2.�����1��_ _ _ <br />At the following <br />J� <br />�� <br />The undersigned owncr hereby agiees lo hold and save harmless Ihe City of Variance Required <br />Everelt (rom any and all claims for damage; thaf moy arise because of rhe Yes...........__......_.. <br />installation and mainlenance oi thc improven�^nt hemto applicd for and No......_._._. <br />(urther agreez to remove same upon notice fron �he Cily and lo replace all <br />public properly damaged Ihereby. <br />DRIVEWAY SECTIOM <br />NO SCALE <br />-- Z3' <br />� I" LIP -�1 <br />Irso" I ►T-�'0�=i <br />l �vin�:ils��.iF' O�� �'" f/ 2t'L. '/�( <br />Insp�Signalure <br />/7' i/]j�;li/�� ('�" � d.r"������%" <br />Dafe <br />f <br />� '/ <br />/� � <br />/ �. �_.li��: � <br />Signalure oI Appliconf <br />F'0 l�c> � 7,,7�,.��:c�rrrwi? <br />Address <br />�S�-4;:5Up <br />Telephone Number <br />Dale g /�J �' �y' <br />S I I �- � r� �-- <br />�F:_.) D `: �1 l��_G Fee <br />��r`l .. 7 ,. "7 4i <br />DEPi. APPROVALS <br />�:r. c,�ir.�a.a _ cr i , crv..,....,.�� , .. � <br />< <br />.:.� . � / � Engineers " Rt. �.�-11-��� � <br />/ �. .0 /�)� � ,/ � Water _ � • <br />� ���}% /n //, 9 /',.y+ r / -rRfG/{i�� 1 ^.,_ ; /'.� _ $traef � "i .: i r' - _-�'t--Lir' C?� � i <br />Commu��icclions� � <br />