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Permit No.7 Aq everett <br />APPLICATION FOR DRIVEWAY PERMIT �e <br />CITY ENGINEERS , ., <br />EVERETT, WASH. Approvd By <br />The Undersigned— � 1 U, A k4 N U M r' Gate Approved <br />— <br />Hereby applies for permission to_C c N ST P U C _�.._ Co L o U C� LT E D li-L l v E VV A� <br />At the following location—r" � �.Z �� _ L m 1 j Lim T ,) t b it L 0 T 2 �� E LM0 m l I, AN E 1 <br />SKETCH 2 <br />(Work to be done) /,07 <br />Q0 Se -A LZ <br />Iif5 PEQ iJ/sCp_SSrPN_LlJ.LZ __.. <br />PROv/46A FOR P40 . _ <br />XN67A,41/I7-/0A.) 47• CSUA;,e <br />Q F /J�GfJ <br />I `3 <br />LU ATee SFIQuIc� <br />_ 17� <br />The undersigned owner hereby agrees to hold and save harmless the City of <br />Everett from any and all claims for damages that may arise because of the <br />installation and maintenance of the improvement hereto applied for and <br />further agrees to remove some upon n+tice from the City and to replace all <br />public properly damaged thereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />I' LIP <br />far..JrSS�j__�f •� <br />Inspector's Signature (h: 67` ib+�) ��: rQ <br />Date <br />cur <br />Variance Required <br />Yes <br />No <br />l � <br />a�-, <br />�j <br />Address <br />Telephone Number <br />T-Dote <br />49 <br />DEPT. APPROVALS <br />Engineers �Y ' <br />Water — <br />Street / /.... <br />Cummunicatiorn_ - .a' <br />