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, <br /> . 1 , ;�, �,- <br /> P���,�r r,o. .L. _A�:_....:. ..:. ... everett <br />� <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> CITY ENGINEERS ,_//�f_ �;�/� :�/� <br /> ---�� <br /> EVERETT, WASH. Approved By <br /> i�a�u.��y /s ��7,U <br /> The Undersigned�i�L n'• A G-- �� ��- Dotc Approved ' <br /> Hereby applies for permission to �ne��T A l S� � D�GtI <br /> _� � J <br /> At the follo•,viny location�'y�9� T• <br /> SKETCH � I <br /> IWork to be do el i <br /> I <br /> I <br />� 2� I I9 i8 �� I y <br /> � — „ , <br /> � I eNo� � ` � <br /> i � <br /> � � <br /> � � <br /> ' � �- — <br /> ' '�' �— — -- _-- __ _ - -- - <br /> 5 -rN . ST. <br /> The undersigned ownen c�re6y agmes to hold and save harmless thc Ciry of Variance Required <br /> Everett irum any and all claims tor damages Ihol may orise because of the Yes_. . .____. . ...... <br /> installalion and mainlenance of ihc improvement hcreto applied for and No _. _... . ... <br /> further agrees to remove same upon notice (rom the Cily and to replace all <br /> public property damaged thcreby. <br />�'i � �� , � . � <br /> r � �,. f - . : ! _ � <br />'1 i1! (�� 'v�i:�lu<_�._ Gr ���G:�,''�CtY�S.l-l� <br /> I <br />� Signalure ol Applicanl <br /> `)'��i' . ,� �� 1. ��� �:�! � '> `: T�t7� ��.Ll\IL`[. <br /> ` • add���: <br /> .. <br /> .�v '`����� _ � <br /> , <br /> � a� .�t ��t • �� �_ <br /> ��� Telephane Numba <br /> �—�l — %� <br /> Dale <br /> Inspecror's Signalure /�'' s / � �.! � ,��JC' / �� <br /> ,yc, <br /> � 7 /7/ Fee <br /> S�IT�= C%i�G.t r v ��/.�,t l <br /> Dafe <br /> DEP�,APPROYALS, <br /> Remarks Engineers�����'�� 9/��/�� <br /> Water r' <br /> Strec1 -----'._.._...... __ . __ .__.. . . - . <br /> � •-_iirv✓.�nimlion^.-�'-- - . - -- <br />