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'? • � ,- <br />Permit No. . �--. .� C'' � <br />-.... r.... <br />C!TY ENGINEERS <br />EVEhETT, WASH. <br />The Undersiqned <br />APPLICATION FOR DRIVEWAY PERMIT <br />� ��r .'�L.�, <br />everett <br />~' � Vr <br />Approved By � <br />��-Z��--1�� <br />Date Approved <br />. .*.._ /� �� ; " ',: i` _ � C ,V /� r� / I%r'� <br />Hereby :pplies for permission to ( �''�-% `- . <br />At the following location <br />� � -� � �� �' �' �=a' � ��'_;- <br />SKEI'CH <br />(Work to be donel <br />�,�'c%/' �::>� E�='.:: , - :�::,.i 7"- <br />'� Ei%i .== ,�' � .:'�' � =-' �.C" I <br />a' <br />2'� <br />� <br />N � <br />6` <br />�'ti "�/• <br />,t15P �.::�;JC. :�)t�"`/6 <br />The undersigned ownen c�reby agrees to hold and save harmless Ihe City of <br />Ev:rett from any and all claims for damages Ihat may arise because ol Ihe <br />inslallalion ond maintenance o( the improvement hereto applicd for ard <br />further agrees to remove same upon notice from the City and lo replace all <br />public property damaged thereby. <br />.li;;(....i . : i��J.._. <br />�. ...__ _' _ <br />130� <br />r../.N--• .� . . .. . <br />.ti.., <br />Inspecfor's Signafure <br />SirF C".��c,r�v `3�y/�o — <br />�oi� <br />�1�;,,... - . . �.�...:�J <br />�:. . <br />�r�sl �-3o�r, <br />� I -�---- - �------- ��� <br />'\_ �I,.LiP -------- . <br />�__ .-. _ ___-.__:.. <br />-__,�_'__'_'_ .— --� <br />f�__-- — <br />{6:�.. � r �1 � <br />,�.J'%% % <� �d . _ " _ �i':. ; !. <br />��31T0 _: � ,-, f; <br />Variance <br />:�� <br />: �r: <br />�. <br />No. . . ... . .... _.... <br />N vr rc <br />SC.A�E <br />Signalure of Applicanf <br />. ,� <br />.<�'" �i ��y,�`yI(l�[�l�lf �l <br />Address � <br />..� L� +� .. � � : � AI � / <br />i <br />ielephone Number <br />� . , ��� <br />Dale <br />$ p�- �; �� - �C. .- . <br />Fce <br />DEPT. APPROVALS <br />e�9�„���s-` ' % � ,.,.f -3,2 — <br />Remarks � <br />Water — <br />—__ __ _..__.-_ . - .- <br />Street _— � -- <br />_---_ _— —_.—_.—..— __ .r., ..r,,.... ' _ <br />