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� � <br /> � ` <br /> ve�ma r,o. -.� _ .. _,<_ i__. everett <br /> APPLlCATION FOR DRIVEWAY PERMIT <br /> � <br /> •` �,' � �Je4:,�-� <br /> CITY ENGINEERS `' '� �� . � <br /> E�ERF i; WASH. �y Ap ved By <br /> C�UYl� ��o� �Qlo� <br /> ��,/ .,,� / � Dafe Approved <br /> TheUndersigned�� 's�'���G�/� - <br /> Hereby applies for permission to�F���u�� � /� ����'t ��� /� / e; � /L _� <br /> At the following location -3 Z-J ���'� <br /> SKETCH � <br /> IWork to be donel /%�.�u p �p�� ADn� <br /> � V �l J/ <br /> �' � �u_ �' <br /> � <br /> 32� !� <br /> �' `, <br /> nvsr. g/w• <br /> ��, �-y}io*g /NEw ADp17/Ol� <br /> ��--_._ � ro sz�sT� 0/K1 <br /> �� `�:_i�` <br /> D�R � <br /> /---��^=T -._�� --- <br /> / � ���� �'-- ���`��. <br /> �''-�-�,� '"�.. <br /> `_�_ <br /> The undersigned r,vner hereby agrees fo hold and sove hormless the City of Varionce Required <br /> Everett from any and all <laims for damages that may arise because of the Yes .... _ . .._.. <br /> � instailation and maintenance of the improvement hereto applied for and Nn .. _ _ ___.. <br /> further agrees to remove same upon no�ice from ihe Ciry and to raplace afl <br /> puolic properfy damaged Iherehy. <br /> - �-�� � � l.�,�; , . <br /> (;:� .9n,afure of Applicanf� <br /> ,� Q _ <br /> � , . :� y� ���� <br /> i i,�v� <br /> Address <br /> /', 4'� % . 's- <br /> TPlephone Nvmber <br /> �' Date <br /> ,i.z,.��--�-��-- % l 5 L � <br /> Inspeclo Signafure $ L - <br /> � Fee <br /> � �� ,,y <br /> a�,. <br /> �� � DEPT. APt'ROVALS <br /> T�1Cco -LJ ct ..� . ,. �� _ n�L-� - - <br /> Ramarks Enqineers <br /> Water ��� — — <br /> c„e. <br />