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/ � � <br />� � C'� . <br />Pem,�r No. . - , _..._.. ' �._. . <br />CITY ENGINEER; <br />EVERETT, WASH. <br />APPLICATION FOR l�RIVEWAY PERMIT <br />everett <br />-�'`.���;!./ <br />� Approved By <br />� s�-.y��,P 9, /97/� <br />The Undersigned (�L/ �• �"/ ����� Dare Approved _ <br />Hereby applies (or permission fo �N�TA�L A�✓ �-L7 ��f��-- � 0i1�/� %� �V /o ���"u/1�/' j� <br />/_/,�/f_ v D//�"Y �.•��' Cl1�!/i: G G/� �N'1 ���c.. % r, I�'–'�?ii`�.�-,��:;•�7� — <br />At the following bcatian— �� � <br />SKETCH <br />IWork fo be donel <br />BE�� /� `� � -- — <br />�� <br />D�; • l �e: �/%I �/c c_ o�u <br />�---- <br />����d-�-�.�-i ST, <br />z- --- -- -- — — <br />The undersigned owncr hareby agrees to hold ond sc+c ho�mless Ihc Ciiy �f <br />Everen hom any and aC daims (or damages thal m�y orise because of Ihe <br />installation and mointenance of the improvemenl hereto appliad 1or and <br />(ur�her ag�ees to remove same upon noiice Irom Ihe Ci�y and to replace all <br />public properly damoged thereby. <br />$ignafure <br />� i rF i�s�FC,��c��7 ��9�1� � _. <br />Dafe <br />Remarks <br />� ��ER U�.<�iN��xR <br />— / �".. .. :,' 7 <br />`/criaccc Required <br />Ycs <br />No <br />l�. . - . . � � <br />�, � �,:r.., <_ <br />( C" � I Signalure ol Applicanf <br />.i ` <br />� i� .i <br />J�sCC `I[.���_. �C�•-c_,�. _ 'f-- <br />4.ddrest ` <br />ir� i aE�::,�� : r. <br />ielephone) Number <br />.._, . J -I ' � / i �'� <br />DOIC <br />b' , ,... <br />Fcc <br />DEPT. APPROVAL$ <br />�/�/�/ /i {J <br />Engineci3��(�if4 J/ /�� <br />Waler �' � <br />Sirrc� _ .... _.__ . _ _ _'._.__— <br />