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__ <br />—, -j -..� <br />?ermit No. �.—_..-,_"--_=-�--:-:.-- <br />CITY ENGINEERS <br />EVEREi1, WASH. <br />APPLICATION FOR DRIVEWAY PERMIT <br />everett <br />--�,�c�lu!�`, <br />� Approvad 6y <br />�<� / "T/,�%� <br />The Undersigned_ C 1�/� R L E_ 5: (;-0 "; E Dale Approved <br />Heieby applies for perrtiis�ion to_ <br />At �he foliowing locaiion � � ^ ' ' " r� �, �T, <br />SKET_H <br />(Work to be done) , <br />W <br />� <br />_- ' -- `�� <br />The undcrsigned owner hereby ayrr.es to huld and seve harmless the Cily of <br />Evereft (rom any and all cloims for damages thaf may arise because of the <br />installafion and maintenance of ihe improvemenl hereto applied ior and <br />furiher agrees to remove same upon nolice from ihe Ciry and ro replace all <br />public properly damaged fhereby. <br />✓_ENAY: -_5SC <br />(uo-_ scnts) <br />�� � M <br />�Q'� .�.��� ' .._.....�.. _ �� <br />_�� LI (� �___ <br />. e y''�------�---- <br />Inspedor's Signatorc <br />- 'i � . <br />5 i7:L �. FfF "iCl= i) -/.' i/'7., <br />Dale <br />��„` , I <br />:Oi: <br />��� � NFlIL (�f-RYI � ! #3/SI <br />f}7TRc!/F%7 Tb $Ob-335r <br />wiTN L.n;J=,�, <br />. <br />) � i ,, ._ `� '- <br />{�.'%3i��'' C,.%t, c<,e`: ) �� ii'i'–i'/��i� ,=7i -{i.'. ;��)L_ —'— <br />Remarks <br />�' • qo <br />Variance Required <br />Ycs._.____ ........ ...... <br />No._..__...___.._. _._. <br />`i�-.-c2,/' " ' ' �� �.� <br />Signafure o1 Applicanl <br />�'aG :� 3 ��f- <br />Address <br />/� �, - 2 � 3 / �— <br />ieluphone Number ' <br />/-' % . - <br />Dafe <br />$ �:\ 'c y'�.� ../f:_ <br />Fee <br />DEPT. A�PROVALS <br />1 � /, <br />I / '' / _'S <br />Engineers /� J � � '�' �� /�/�� _ <br />N.�ater '"t'�� / i • 7/ <br />Street �—�_____- --- ----. . ._-- <br />`___.._.. 1�1�.32.__�..s L�-: — <br />