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APPLICATION FOR DRIVEWAY PERMIT <br /> r <br /> =1TY ENGINEERS � <br /> EVERETT, WASH. � ' � �ti <br /> A ved Bv <br /> � / �_`,t,l� �4(u`{ <br /> The Undersigned " .' ". c ' ' !�'•: ,� _ Daie Appro�ed <br /> Hereby appl.�s for permission fo �'�%' 7 i �—'� ;'�; ; <br /> At the (ollowing location— � �� f -..�- �' f �'/ r� '� <br /> SKETCH <br /> IWork to be donel <br /> ----- � ""'T— -- <br /> \� � — <br /> 1� � I_-_� o �I <br /> � <br /> i ,o �� <br /> .o <br /> l �v 7S <br /> .�� <br /> — ...r_.__. _.__.. � , <br /> r� � <br /> ,'�, �1 <br /> " � <br /> j � ��d <br /> �� � U � i <br /> —------- - -- �•,� V <br /> , � ---------� <br /> � <br /> Thc undersigned owncr hereby ogrecs to hald and savc harmless fhe Cily of Varioncc Required <br /> EvereR from any and all claims for damages thai may orisc because ol Ihc <br /> insfollalion ond moinlenance of Ihe improvemenl herH? opplicd for ond Ycs <br /> furlher agrees b remave same upon nolice from Ihe Cily ond lo reploce all No . <br /> rublic properly damaged Ihereby. <br /> , Signofure ol Applirnnl <br /> 1'. <br /> ' ' add,e„ — <br /> Telephone Numbcr <br /> - .��i.�. Dale <br /> Inspeclor's Sipnolure , � <br /> � _. 1—/i �y `> U <br /> _ - 9 Fce <br /> — — -------- <br /> Dnle _...___-_ <br /> DEPT. APfR�vALS <br /> RemarMt —_—_ —._—._____—. _ ___ <br /> Enginc�rs_ �,T_ <br /> —'_' ___—______ Wale� ..i �� 4� -;,�y� <br /> r <br /> � � -- —� S�recl <br />