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<br /> Permit No. .f f " `'`..
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<br /> .�` everett
<br /> APPLICATION FOR DRIVEWAY P�CRMiT
<br /> CITY ENGINEERS , ,
<br /> EVERETT, WASH. ` proved ey
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<br /> The Undersigned-__ - - � f�•�:l i�%� Dale Approvcd
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<br /> Hereby applies for permission to `�`'i'�C:' � " '+�-E�L.� '�✓ � �� :ri4.�i'�l' i
<br /> At the following location � S� � �:/' S ��r' /r-'/� �/
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<br /> SKETCH
<br /> (Work to be donel` I � .� TN ,� T�E E �"
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<br /> The undersigned owner hereby ogrees ro hold and sovc harmless the Ci1y o{ Variahce Required ' - ��
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<br /> Evcrell rom any and all daims for daRages that may nrise ecaose of the �-�---�-�-"-"" � �'""Yes
<br /> installation and maintenance of the i�.iprovemeN hereto applied ior and No .
<br /> further ogrees to remove same upon nol�ce from the City and to replate all � � � -� -���-
<br /> public property damoged Ihereby.
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<br /> Signa�u{: ol Applicanl
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<br /> ,^�'.� Addrezs
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<br /> Telephone Number
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<br /> � �� _/� --� ,� � Dale
<br /> �.-7. r �4 S-- � �e..- �z./C �.�.-.' ,
<br /> Inspecfor's &i nafure , r S L-%'v `"� '✓�- ��;`:.;�'l;
<br /> ��� ��_ U Fee
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<br /> Ob1e
<br /> i � , . DEPi. APPROVAlS
<br /> i1!- -�--' % T�'_ �n is is dc,� e :L, n/, l� �
<br /> Remarks
<br /> Engineers
<br /> Water ''�� - 2 !.G ✓>i� ,�,<�.'�"/
<br /> Streel
<br /> Commonications - � � � � � � � ._
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