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. ;1 <br /> Permit No. � __.. 1-. E`V�i'e� <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> CITY ENGINEERS � <br /> � <br /> EVERETT, WASH. proved By <br /> , n��ber 23, �ac��- <br /> �� - �� � Dale Approved <br /> The Undersigned �i �' � � <br /> Hereby applies for permissiou to—� � ' T '�"� '` � -- —"' <br /> At the following bmtion� �- � ' <br /> �__. <br /> SKETCH <br /> fWork fo be donel <br /> The undersigned owner hereby agrees lo hold and savr harmless Ihe City o( Yariance Required <br /> Everetl from any and all claims for damoges �hat may arise becouse o! ihe Yes . . <br /> installaiion ond mainlenance af the improvemen� hereto applied for and No . <br /> (uriher ogree� to remove some upon nolica (rom Ihe Cily and lo replace all <br /> public proprrly damaged �hereby. <br /> $ignofure ol Applicanf <br /> Address <br /> Telephone Nmnber <br /> _ � �, Dafe <br /> 1.[i•-•� �,12•.�� � <br /> IntpedW's Signalure % / E <br /> / Fce <br /> < <br /> :�(.�:,� y �'�c / <br /> Dnfe � <br /> DEPT. f.YPROVAtS <br /> Remai4s En�inccrs <br /> Walcr <br /> _ Slrecl— --- <br /> (�.,ii... ' .� _ . <br />