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Permit No. ��— �� <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETT. WP.SH. <br />everett <br />— ���% !� <br />� � Approved By <br />�L�BL?��.U,�y� /�%,2 <br />The Undersigned M AR I A 1J �T ii � NK �- �� _ Dare Approved <br />Hereby applies (or permission to �'oNST. A �' i 7T_ STAN, S�GC� <br />At fhe following location_ 7��G— i� L V,��_� vv, <br />SKETCH <br />IWork to be donel <br />�, <br />= 60' <br />13EV�RL'�' <br />Thc undcrsigned ownen c�reby agrees ro hold and save harmless Ihc iity o( <br />EverMt from any �md all claims (or damoges Ihat may arise becouse of Ihe <br />installation and maintenance of Ihe improvement hereto applicd ior and <br />(udhcr agrees to remove same upan notice from the Cily and ro replace ail <br />public properly damuged Ihcreby. <br />C\ <br />�(,�,� ? .!' V_ � J ' _ . .... . 2�'.'�/�'/ � � ' �` <br />• -...�.-,. . . . <br />/k' %C j�G��h: ��UE" N�i}:=K <br />/)-�� �'N�. ,..p_. � <br />Inspecfor's $ignolure <br />�%TI'� -.4�,Ec:.tiFY� '�//cy�.2r <br />Dafe <br />s �vo. <br />Variancc Required <br />Ycs <br />No <br />������� n <br />MR2IHN �• fI �uKLEY <br />$ignalurc o/ Applicanf <br />%c4/�- /?�Fv, !?L�'� <br />Addiess <br />3,� .3 - 72�Z 3 <br />Telephone Nambei <br />'�-/��— %Z. <br />Dafe <br />5 1�,��` F l �r- <br />/ Fee <br />. l �� � <br />DEPT APPROVALS, i <br />Enginccrs � � ���'f������h/7L <br />Watcr <br />Strr,et ' <br />