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Permil No. ?��.o...._... <br />CITY ENGINEERS <br />EVERETT, WASH. <br />The <br />APPLICATION FOR DRIVEWAY PERMIT <br />everett <br />-= ' 'C�l�� <br />— Approved By <br />�R/� .2E /Yf�7� <br />Dalc Approved <br />Hereby applies for permission to ����'�'�� • /� � �G ,��� , ✓/��fr' '��L.� <br />At fhe following loculion <br />SKETCH <br />IWork to be donel <br />NorF � � <br />r <br />S <br />� E ✓. <br />/ <br />i <br />�� ��.>„ � <br />The undersigned ownen c�reby agrecs lo hold and savc hermless thc City of <br />Everelt from any and all claims for damages that may arise because of Ihe <br />installation and maintenance of Ihe improvement hcrelo applied for and <br />further agmes lo remove same upon notice (rom the City ond b replace all <br />public properly damaged the�eby. <br />Inspeclor's Signalurc <br />SirF �r�E-�i<:l"�G ��.L-3 7� <br />Dafe <br />r' <br />��ait/C�G'.Er�' ��k'l.t'.l�D lT7.xk'_ jii7ic" fcG�!<,C �f[,c'iB <br />emarks <br />% <br />�' /�Si'�/C-C%%On%_1L��.L`:_...-----.. <br />Variance Requi�ed <br />Yr.s <br />No <br />� ,/ <br />. ; [ r'r..:r..i . ./� . <br />Signaturc ol ,Applicanl <br />�. <br />� <br />Address , <br />: _ ._ e�' . <br />, <br />Telephone Number <br />Dafc <br />5 ��j ; � - � - / <br />Fce <br />DEPT. PPRO�VqjS <br />vi/ % � <br />Encinems �_ ' '� �' L'' <br />1� Waler - "'�_'� �'7 ' 7 i <br />S`mM � <br />