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I <br /> I �' � li �) <br /> Permit No. . • '��.._''...::......._..._ eVel'E'tt <br /> APPLICATION FOR DRIVEWAY PERIv;IT <br /> l � <br />' QTY ENGINEERS -�� / �'�s/-f' <br />'� EVEREiTI", WASH. - Approved ey <br />� � , � � � : <br /> G1 � /�):' � <br /> `�— � '� I �1c � /S�i � �. <br />�� j/ �i . .� %/ ",I . ' � \ �p�'�J�f�(e �UII�q Datc Approvc <br /> The Undersigned � � 7 <br /> � � <br />' Hereby applies for permission to � fl� { f t����� �r t��f� � _ <br />�� — <br /> At !hc following locafion � � � �yl� �� '=� <br /> SKETCH � <br /> IN;ork !o be donel <br /> � - --.. _ _ _ _ _ __._ <br /> / --- _ _ — _ _ <br /> __ _� �, ; ,,, � _ <br /> , / 2 � d� � <br /> � _, I�I ,1 �� ,' <br /> �� � � <br /> N /_u�u11_J / '. `�_�� , -� <br /> � � <br /> I __�-- I <br /> �. l� � ��r ; . <br /> .�� � � !r�� % �' �at��i �, . �,, <br /> � � �,a. ' f?�rk�hg � i <br /> y , . <br /> , � �� � � � <br /> I � <br /> ,� <br /> i . _ <br /> -� '� � --�G_ . -_..._.f_.4 ' . . . _ . <br /> \• <br /> � • <br /> f 1 b9 r"_ .� '- <br /> Thc undcrtigned ownei hereby agrecs to hold and wvc harmless thc City of Variance Required <br /> Everett from any and all claims (or damages that may arise because of the Yes .. . ... .. ._.... <br /> installation and maiNenancr of the improvement hereto applied for and No .. ... ...._ . .___ <br /> further agrecs to removc sume upon notire from thc City and to replace all <br /> public properly damaged Ihmeby. �'� <br /> ' � ! <br /> ...,}t_ . _.�. r, <br /> i_,_....., �t�t,y. __sec7'i0N / <br /> � �P1O':rSCALF_� i . <br /> I <br /> � Signafure of Applicanl <br /> ` ,�1_..__.._ i�:,�� 3`�?; _ �-_ �' " ; �(.'; I <br /> � ` -�-�--r�• Address <br /> , <br /> 3 -`E •4�_�� � �✓'f � I <br /> ' ��T-�..�,:Y:_.._.�...�_..._ u . _ ... : - _ . . � <br /> 7 ��� �Telephone Number /C5q _ �:`�,�6 <br /> ir I <br /> i_.._...��.___�_ _Z ' r - i/ ' <br /> --� Date <br /> �• l.t_ <� �3� / <br /> Ins�ecfor's Signafure 5 � (i�� '� ' ' ��� , <br /> � <br /> Fee <br /> _� i i f ���EC.�-'c=✓� �,22%7.� , <br /> Dale <br /> / / DSPT. APPROVALS � <br /> �1� Ci-�r�-,� �f�c i�t� �i2i 7 �'� '.��2 � <br /> Remarks Engincers � <br /> ��`�7.�,,�-�... '� ' �-' �7/ <br /> Water — <br /> Street_i � �- � <br /> ` _ <br /> . , ��, . �—� <br />� - ----- - - --/—� -- - - -- - -- - --_ � <br /> Communimtions - <br /> Tru(Gc___.. � <br />