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Permil No. �,� � /. � � <br />_ ._. <br />APPLICATION FOR DRIVEWAY PERMIT <br />everett <br />QTY ENGINEf:RS t� �� . � <br />.,_ G' <br />EVC:F.ETT, WASH. Approved By <br />� {�'Tr')f3i�c= .C��o. /�%/' <br />The Undersipned_�i �-�._.C�4= ,�_ ��%' ' '. �—'� Da�e Approved <br />He'eby upp'ies for permission 10 'L1:="n �--L 6�_��! ��r A sPF-f � nR� UCI.V A�I <br />At Ihe followin;, local <br />SKETCH <br />fWork to be donel <br />s o <br />�y TN <br />T`1 5T <br />The undenigned owner hereby agrecs �o ho�d and sare harmless the Cily ol <br />EverNt from any ond all claims lor damoges ihal may arise because of Ihe <br />inslollalion ond mointenance ol Ihe improvemenl here�o applied lor and <br />lurlher agrcef to remuve same upon nolice (rom Ihe Gily and lo replace all <br />pu6lic properly domc3ed thereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />� 1 s ' --+I <br />�� +I�� LIP 1 <br />� �� <br />I . p'_�_ _ -- _ 30 <br />��__ <br />C <br />` ,- . 'f-f_,. tt l � - /� ,,� <br />Inspedor't Sipnalura <br />�i t. <br />�.1.L.L�— f _ �. / � _— __ <br />Dale <br />RemarFi <br />�IsPN, D. �.�, <br />..__ ___ . . .._ <br />_<%S?N_ � Pq� �' i <br />e <br />r <br />I',_ fn�� <br />Vo�ionce Required <br />Yes <br />No <br />i <br />1 L <br />�Z� , h U tl 1_. -4. <br />�. ,�, � <br />_ �►. <br />/ , �, � <br />, <br />, ,�[cc-�' , /. . �,��.t[.0 � <br />� Signalun � of Appl�—� <br />,,, "-vi�E��? <br />� 1 - ,�'/ �I'- ��( <br />Addreu <br />' _ i � <br />: -, �; <br />Telephone Numb�•� <br />/ f� _ � S " '/ Z.- <br />Dols <br />S �� ��� <br />fM <br />DEPT. APPROVAlS <br />f� r �."' , . �- <br />Fngineen � � �/• - <br />�yy <br />Water r / ° � "C ' +- <br />___ Strce� —.� ; - � <br />t- .�,�_�,�.,�.� d�.,,u _ . _. . <br />