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Permif No. .._..!�...:::��%. everett <br /> ,� <br /> � <br /> APPLICATION FOR DR�VEWAY PERMIT <br /> CITY ENGWEfRS I� � . <br /> '�� , � . v 1,,.. <br /> EVERETT, WASH. roved ey ^ <br /> � �,, / l ,� ��bruc�ru Z. 14i�Q <br /> The Undersigned �`'`.��� �' �%�'-=-� Dme pro�ed <br /> Hereby applies for permission to �� �(�I %-�%J / ` � � �� �i�'i ,1!r <br /> At the following locotioni�/� �/ Ul��/-�/,�^'✓Ay <br /> SI:ETCH - <br /> fWork to be donel C O �// /�!' ��C /� L <br /> �'C' l� �• ��%:_7�-7 / ,.,. , .� i .I y, <br /> • ✓ '� " ' PRf3VIDE FOR <br /> ------ ;'rti.)� Ei� DRAIiJAQ� � <br /> �6 �s ' <br /> � <br /> � 9�¢ � <br /> `' � �— <br /> � <br /> �J� <br /> _—�- ASPNA�T D.�/ v E. <br /> — ��_ <br /> >� � r �• ,� •7� � ,= r,o�� <br /> � ,�% � _--- - <br /> ___- <br /> -- <br /> _f------ <br /> The undersigned owner hereby agrces to hold and save harmless 1he City of Voriancc Required <br /> Everell from any and all claims for damoges Iha1 may arise because of Ihe Yes.. . ... . .. <br />� installation and mainienance of �he improvement hereto anplied 1or and <br /> further agrces �o remove same upon nolice from Ihe Cily and fo replace all N�� �� �� �- � ����--��� <br />� public properly damaged fhereby. <br /> ��c.^�->l��Gd/Q %f�i`1T T/Y/S /�G/�FJ/T , <br /> S�Gi✓�a Nc, �/�oB[_t:�lS � <br /> �� / � / . �;' � . �..,Signalure ol Applicanf <br /> 'Z� , ��,�� <br /> ��%-/.r�./�G:� . / !�; � . //fa""'/7° ..y �;:-i ,-�� • , <br /> �} / / / � L• <br /> C, -�J/7� „ �"cl.t,/h r'L..�G�t. . =`���'�`-?- `� i�dJress�. <br /> s/�;1�� -�.4.; �� � , m �� - . <br /> ��f������ =, � � <br /> - ;, � , , , _ <br />, ,�� 7 '7U `� � /� �� . Telephone�Number <br /> ���*,�?�: �J� ,7-��,.� ��.r���< • <br /> / t " � ' <br /> t�.'J��d ��� �r, �^ • � , �� - <br /> �. :r�. ,. ,,r:�..c Dalo <br /> ,� <br /> Inspectoh Signa�urc � � 5 !/ — ;�- � <br /> .r w rc._�x2§hi+—m��r.sv-k�� " <br /> FCC <br /> Date <br /> DEPT. APPRO`lAlS <br /> ' , <br /> —__ . . -- �-- - -- -- - - � , . <br /> - — - - .....�.�.:..� - <br />