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_> <br />. —I <br />Permrt i�o../. _ ....---..f../ <br />APPLICATION FOR DRIVE�YAY PERMI7 <br />ever�tt <br />CITY ENGINEERS ; ---"�ny��/--` <br />+ _,..�e <br />EVERETT, WASH. ' Approved ey <br />� ,—_ � '7'� <br />�^ /Z/�f= l,.7 ��/�. <br />The Undersigned �J � G � � � � ��� ,4- �- �� Dnie Approved <br />i � .. _, i � r..i ,. <br />Hereby applies for permission to L�� �`� %rr <br />2� UJ � n � <br />_r;) <br />f.. ' - <br />At the following location�� � ?f � �� �' � -- <br />��- ,,� t. V F�P_G I-kn �_1 S� <br />`� �' �-7' <br />i <br />2 � <br />9 ,. y: <br />J .,� <br />, !j <br />. _ .. ��j. . i I <br />_ ._.. . — _ ... . <br />/,' -- - — - ... �L —�.. � �o. <br />`-�'f F�N OITLI� '�I � �*�GE <br />l/JSTALi.. l.� CULv',_"'._ � ; � � �__ ___ �� <br />_.`1"�I ���%� �_, �;, �j� <br />- — -- -- — -- — —C__ <br />The vndorsigned cwner hereby ogrees ro hold and seve harmless Ihc City of <br />Evcrett irom any and all daims ior damages Ihat moy arise becouse of Ihe <br />in;�allalion and maintenonce o( Ihe improvement nereto applied for and <br />furlhr. agrees to remove some opon nolice {rom the Ciry and to replace o�l <br />�ublic proper�y damac.ed Ihereby. <br />DRIVEN%AY SECTION <br />NO SCALE� <br />�-_25� ' <br />I�� LIP <br />� 30" _�— �30�� <br />.�� C �7 / . <br />- � � `�`' !9�tc <br />InspeNori Signafure <br />.. ;�.�"'' : ^J c : /'--_ �, ; f <br />��%i� ' - <br />Dafe <br />Variance Requirec <br />Yes . <br />ho <br />of aAV'"r� � <br />� f , . .E-� ,iy4 _ <br />Signature of Applimnl <br />Address <br />ielephone Number <br />i' ' - _ �j <br />. Dale , � -`�. <br />� <br />0 <br />s <br />� s , ��� ;� � �9q� <br />/ � i <br />/t�".f�-� GL�%��:: Fee 3 �,,.'' <br />�c -/t, - i`� <br />DEPT. APPROVALS <br />, <br />-- ; � '�;'. . .•, E� /.�'--7' <br />Engincen � +� � � � -� <br />Watcr--_i! �L'/ � Cl:.-r _ <br />Slrect _ �-'r � { . ' ' 1 <br />