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_. ._ _ _ .-,� � <br /> Pe�m�r r,o. -: _:.:.: ::_._.;,.... everett <br /> -�: <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> � _ <br /> y <br /> � '� <br /> rL N ,. , <br /> CITY ENGINEERS � �9 " �' � ��� ' <br /> � / �� ;=��i <br /> EVERETT, WASH. `� �--� Appro��d ey <br /> UC/N�E /�5 /�`��_ <br /> '� Date A roved <br /> The Undersigned_ �� F-F��= = F`-Fi��T _ PP <br /> Hereby applies for permission to_�nN�%Ri �,--'> A l�� � D11.:� <br /> il <br /> At the following location c=�r— 5�" 5 i � <br /> �PLAT nF LE('/Onl PA,PI� ;-ADD Di 'J. ./JD. c�'_ � L�� - <br /> SKETCH , <br /> IWork to be done) I --- — ---- ----- <br /> — — _ _ -- __ <br /> � ' <br /> � <br /> �'_�o" <br /> 23 22 21 2o I <br /> �� J <br /> �__ 2315 I�1 j� <br /> E.� oA�I EyisY �.�.aretz I� <br /> � � ii �.1� VP'-YF- � <br /> _._ _ '__ ___-__—"_ _' <br /> __ '. _.__ __ _' _— � C:v . _. <br /> , <br /> . _ '_ . -_ ..- —_ -'_ .— . _-__ _. -. . . . <br /> . �.�•. _ <br /> .._—""' _. ____ _ — -.-_ _ _ _.. . . . <br /> - -5 - - --- - - <br /> , , . � <br /> _ - --- - --- -- - __ __ <br /> --- - - - - _ -- � ------ - -- - - <br /> � <br /> . <br /> -- - - - - _ _ _ . -- <br /> �, I <br /> J , . <br /> � '�, i <br /> � <br /> The undcrsigned owner hereby agrees io hold and save harmless thc Gity of I I ��ariancc Required <br /> Evcrelf (rom any and all claims for damages that may arisc bemosc of Ihe I i Yes <br /> installalion and mainlenance of thc improvemenl herefo applied for and -�-�� � � ���-�-���-������ <br /> furiher agrees fo remove same upon notice from the City and to replace all I ; I ; No_... ..___ _..._.. <br /> public properry damaged thereby. I � <br /> � t <br /> �Rl10ENl.Y: ���_SLC.L/4M � '`� � <br /> �T7�:--�SCALE� % <br /> T . <br /> �_ � �/�.-- <br /> � Signalure o( Applic <br /> ' -�� sa 't�:, :, � 7� 5 (' u ' �.; <br /> � � '•�{� �� d' Ll •i Address � � <br /> : �4u "i'➢:�_ � ' 1 I^ _ �� / y'1 C / <br /> _ a�� 4.� ielephone Number <br /> y <br /> - � � ' :' (f,`•itStLr,�Y1!j`�.''i.: <br /> ..�.�.y...,.........�-..--........--�..�......�..............�,.�.........-"---,-• <br /> Dafe <br /> Inspedur's-Signafure $ � CO �� <br /> / Fee <br /> .�;r/z. G.%�f.��;',�.�.��, ��/yi J� <br />� <br /> Dafe <br /> DEP7. APPROVALS <br /> -7��. , � / , <br /> Remarks Engincen�'� -�'/•' ��'� �C'J %7� <br /> Water �'.l. [<..r o- �!� - <br /> — ._-----�- --- --- Streel /� ._ .��---- -- <br /> . ..1 <br /> C:�mre.:n:cair:ns�'_�___. .._.-_r _____-._` <br />