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CITY ENGINEERS <br />EVERETT, WASH. <br />The <br />APPLICATION FOR DRIVEWAY PERMIT <br />�L .j .�.',i:� <br />_..__._.,..__ <br />Hereby applies for permissiun to ���� % ti�% t// f �— ��! ��•�'S -�� <br />At fhe following locafion <br />SKET�H <br />IWork to be donel <br />PR�VIDk D�� �qGE <br />�,„� <br />� � <br />� _ �_.; <br />i � /� ..;,/ � ]�... <br />. NpTE ' <br />CNECK �NITN WATF�� +C <br />`)L{�T.�lr��„AT�.1� _Z,;��.i�1( <br />`�ll����l\l"� �... <br />1 . ,.. t. <br />BE-D!�'v � i � l 1�.;� <br />The undenignnd owner hereby agrces �c nold and save harmless ihe Ciy of <br />EvercN fwm any ond oll clai.ns lor damogu �hat may orisc becausc o( thc <br />installalion and maintenm¢e o( Ihe improvnmcnl hc�eto applicd for and <br />lur�her agrees lo removc same upon nolice irom thr Ciiy ond la reploce all <br />public properly damaged Ihereby. <br />C / , � `, C.�/nL�Jt . <br />! t <br />.7t; �f <br />ImPrcmr't 5:((nnbre ` <br />1 <br />i <br />_'r' _.' __ _'._ ._.._—�__ <br />DOIB <br />hi Ilarl:f <br />�,_�,.��. �����.�.� <br />� proved By <br />,� f `� (�`t <br />rl, ,,t �, <br />Date Approved <br />--�=,�`_.__ _- <br />Variance Requircd <br />Ycs <br />IJo <br />Signalwc ol Appliconl <br />ndd��;: <br />�� <br />�- <br />Telephone Number i <br />Datc <br />E L— 1�48i- --- <br />Fce <br />DEPT. AFPRG��ALS <br />` / r r' <br />� <br />Cn�inecrs ^'.r�.: „V `..✓;��. � - _ <br />�Na1Cr��� �T <br />Sirrrl —_.— _..�'�� _— <br />