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..r_ e 'i, . _ __ <br /> �� r <br /> � ,�l .�,� <br /> Permit No. ......� ._..../ --.•--- QVe�e� <br /> APPLICATION FC�R DRIVEWAY PERMIT <br /> �y� ;/ <br /> CITY ENGINEERS � - �%�-�'!�- <br /> EVERETT, WASH. Approved By <br /> � ��'� � ,L 5�1� ���-5 <br /> The Undersigned �/v ' ��' ` �I '—'�' . "`'� Date Approved <br /> � <br /> r �. <br /> Hereby applies for permission to �-,�`�.1�'�r� � � � �J S ��'`^�''�''G : �6�� �=��r�'� /t}� � S �`. <br /> -T (. <br /> ���-/, ni—r +=f"= � � 1 �I—c.�a �(�-r� � <br /> A� the following locaticn I � 1 � � — � � �� ���\� E �J � • <br /> - ---- + I <br /> SKETCH � i <br /> IWork to be donel � � I , <br /> + � I <br /> No ScA�E � <br /> NEw ' <br /> � � - I � ST��i�� <br /> w <br /> G _. <br /> w <br /> � <br /> -r � <br /> w <br /> o � <br /> � <br /> ,�� � <br /> � , __. n/rw C,yrcN G.�.s��i <br /> PI_H�17�.✓ Ai�A I / ,--CXIST/NG CULV�R7 <br /> - --�/-� --_ --- _ '-_ _ �� - - - --- --._ <br /> � ; {.. �.�� � <br /> r , . y \\ ' , �2„ _ V�'CZT <br /> — — 3� — — - _. . _ _J 1_/_ �;`� " ` —� /-��`,�\'\ � — — — — --- — — <br /> 1 yO" `AQEA 1"0 �}c�G�2AvrLC-D <br /> �.— �. _ — <br /> � �D� _ _ ^ I — T'Yf'E �C��C:uRC-3 �— -- __ — --- — -- -- — — , <br /> � tXIST. �.p(-.- l--- ��o�F'RO^„ f-�r"��OcF_�T�L/�/r.-...-�. �. <br /> .G� '.. <br /> c 4 P.Uv`7 - —_--- -------- <br /> r- 1 i ___. __ . .--- __ ..---- -- - - - ___ __ _ <br /> The underzigned owner hereby agrees to hold and save harmless the Cify of Variance Requirr.d <br /> Everetl irom any and all daims for damages thal may arise becaus: of 1he Yes..._..............__..... <br /> inslallation and maintenanc� of the improvement here�o applied far and <br /> No..................._...... <br /> furlher agrees to remove s•�me upon nolice from the Cily and ta replace all <br /> public property damaged Inereby. <br /> / ' �� <br /> ORIVEINAY SECTION ����� /. � � � �' � ���� <br /> NO SCAL " �"" ` � <br /> �� 35�� Signalure of Applicant <br /> c <br /> I" LIP �C� /�c� X �c ���o �",�,�,�� � <br /> add�e,: <br /> r�o" I �'�r•30-i <br /> f7'c�- Z- 7cS�C�C � <br /> 7elephone Nvmbe: <br /> %/1 / '� <br /> � �_ / . . / � Date� �r� "�3 <br /> /�' �-'� � r,�'J�i � � v �' � <br /> Inspecfor's Signafure _'� �„ ', S �S ��iy/��� � <br /> ) L_.. <br /> ,. h�< ��U c ,_� ��. . F� <br /> SiTf l'.r�is"c:,�::==i� 7;%y'-%3 7`-t7� 73 <br /> Date <br /> DEP.T.,APPROVALS <br /> �i� / � � <br /> Remarks Engine�� ��� �'� ' /� _/`? <br /> f�"Waler � ° <br /> Street - ``. '-�.` :c-.. <br /> Communications_--�.c'"� � <br />