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Permit No <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETT, WASH. <br />The Undersigned <br />Hereby applies for permission to / o k) s7"f -)C_ -1 ' r- i-' - <br />At the following location <br />SKETCH <br />(Work to be done) <br />t 92 <br />/ ze <br />4 B <br />i � <br />i 2 q :r Z <br />J r7 / 1 � 4� S <br />s 2L' <br />The undersigned owner hereby agrees to held and save harmless the City of <br />Everett Fom any and all claims for damages that may arise because of the r <br />installation and maintenance of the improvement hereto applied for and <br />further agrees to remove some upon notice from the City and to replace all <br />public property damaged thereby. <br />QFL? Y Etch <br />y__.— .... trso. scat) <br />1 <br />Inspector's Signature <br />�iT�_ C/f�C��7�_!,7/ <br />Dale <br />3n <br />everett <br />,.e <br />Approved By <br />y - 157/ _ <br />�Dafe Approved <br />W <br />Variance <br />jvs ee.5 KYR/rG� <br />7rr. 70 <br />1 Lr C-- <br />4.47 <br />Ad`drfess DAQ. <br />3—O - — X 2- i�- <br />Telephone Number <br />Dale <br />J Fee <br />DEPT. APPROVALS <br />11171 <br />Water AlStreet <br />ti N v "—rJ' rr <br />