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<br />Permit No.� "� �
<br />�.PPLICATION FOR DRIVEWAY PERMIT
<br />�ITI' EIdGINEER�
<br />EVEf,ETT, WASH.
<br />Tha Undersigned � �'.%�---' - c: ._
<br />everett
<br />��y��, �
<br />� Approved By
<br />Dale
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<br />Hereby applies for permission to - ''_�_�� - � ' �' � . � // ' �J f'71%::� ' � : i��i=; <`" ; �,J : f-�='
<br />At the following localion � �-- � ���_� / . _ F � � �-J`-" � ' � . _ _.
<br />SKETCH
<br />IWork to be donel
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<br />/N_STi�LL 5-775 �',:•= �'r."'.y
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<br />�h� RELOC F,iLF
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<br />The undersig�::d owncn c�reby agrecs lo hold and save hormless the Cily of
<br />Everett from an7 ond all claims for damages that may arise because of Ihe
<br />inslallotio� nnd maiNenance ol thc impmvemenl herelo applicd for and � ���i,-T- _-
<br />iurlher agrees lo remove same upon notice from ihe City ond lo rep!ace all � ('r�r�
<br />publicpropertydamagedthereby. � ���'�: ���� :ii�;'Viti.-'.. �
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<br />Inspedor's Signalure
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<br />Dale
<br />Varioncc Required
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<br />No
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<br />Signalure of Appliconf
<br />A. O, �o �t Z.zo
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<br />Address
<br />' Nr� = -%��'io �� 3i9
<br />' Telephone Number
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<br />� Dafe
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<br />Fee
<br />� � . DEPT. APPROVALS
<br />Engincalt'' ✓�//tf �1� ��/7��
<br />Walcr i:�. ���.-. �1 i- '�i j�.
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