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�-„ � <br />' � �]__ i <br />� -- <br />Nermif No.........-: " � <br />.---.......�._.., <br />APPLICATION FOR DRIVEWAY PERMIT <br />CIN [NGINEERS <br />EVERETf, WASH. <br />The Undersigned <br />everett <br />s� 2,-r l �� ���. • , .%�_ <br />=Approved By <br />�� - � y- �3 <br />Date Approved <br />Hereby appiies for permission to � �� t'= �� � L,/ f���� ������ ` r'E�� 1"";� ��''U�'r <br />O!�( C I TY �7T`c�4�L�4:'T Y _ <br />�, � � � � ��. � � <br />At the following location — <br />SKETCH <br />IWork to be Jonel <br />34• T� <br />s T. <br />The undersigned ownen c�reby agrezs to hold and save harmless the Cily of <br />Everetl from any and all claims for domages that may arise because of Ihe <br />installation and main�enance of thc improvement hereto applied !or and <br />furlher ogrees to remove samc upon r.otice from thc Ciry ond to replace all <br />public prcperty dcmaged Ihereby. <br />DRIVEWAY SECTION <br />NO SCALE �- <br />30" <br />� /l' /�l " 7 � ,Q <br />Inspecfor's Sigoature ,� _ <br />�/r�= c:l-1�C1<EL /� �1�--73 <br />Dole <br />Variancc Reauired <br />Yes__ ...__.__._.._... <br />No. _. . .___ __..... <br />.l_ . . --�,i:�i/YL�ou.7 F. �/��'�7-Q�(.(%� <br />Signalure Applicanl <br />C�20 - 35`'� �( <br />Address <br />:� �— c>�S / <br />Telephone Number <br />�U �/O � 73 <br />Dale <br />, <br />s �, t � �-� � '�: r�;T� .., <br />% �} <br />1 <br />�: _ � <br />�"� C <br />F-i_; _ t; f_: 1' �_ Fee <br />'' �:_ ll--�� <br />• DEPT APPROV LS � <br />Engineers.— � 'Q /U/ � � 7i <br />;i <br />� Waler ��� �� � <br />Street - <br />Communi[alions�.. __._.--- <br />