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(:ITY ENGINEERS <br />EVERCTT, WASH. <br />The Under:igned <br />APPLICATION FOR DRIVEWAY PERMIT <br />�� <br />% <br />Y�'� <br />- f��t � ��r,� <br />� Approvea �3y <br />�f'f('/L ,Gi' � �� <br />Dalc Appr:ved <br />Hereby applies for permission lo �%�/✓STiF'�`T I�� -� C�:�'' .� /b.r-sl� �� � L�� _ <br />Af the following location �'� �, ��/ �L �%�� <br />SKETCH <br />IWork fo be donel <br />/� <br />y--' ?-- V • �5 �_ 1� n <br />_� .,... _ <br />The undersipned owner here6y ogrces lo hold ond savc harmless If e City oF <br />Everett from any nnd all daims for damages that may arise beca�se of ihe <br />inztollotion and mainlenance o( the improvemenl hereto applied for and <br />further agrees to removc same upun notice from �he City and to replace all <br />public propedy damaged Ihereby. <br />lnspeclor's Signafmc <br />.� �r.� � �>��,�.��.� �i -ti�i -/; <br />Dale <br />Variance Requi �d <br />Ycs <br />No <br />��?��!) �%L-����/ /�, j/IVC.�i�lL/ <br />� �-�".L�CI �� L-12zrJ�i-,-/ <br />Signalure of Appli anl <br />� � � <br />(i�.�l��`/ .�.;»-tG`> /�2�, _� <br />Address � � <br />� i. - _ �� - <br />Telephone Number <br />Dale <br />Fce <br />DEPT. APPROVALS/ <br />t" Engincers ����t f"C(/=.! �//�7/ <br />7r, Walcr' ��. �-•..� i( i J. -1. i <br />. <br />Cfrrrl . .�, � ' ,� . . <br />_"_____'_ ""_'_"'____- <br />. r t ��--.a _. _ jV-r., <br />