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<br /> Yermit No. --'.-�. �'=" '
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<br /> everett -
<br /> I - APPUCATION FOR DRIVEWAY PERMIT
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<br /> CITY ENGINEERS �' � `�,Gi/,�� �
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<br /> EVERETT, WASH. ' Approved ey
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<br /> The Undersigned ���� 1_ : � r-����, !> . �.!��r�.�'.` Dotc Approved '
<br /> Hereby applies for permission to r'���=�"' '.J C'I n J�%."' �( ��•i �-y�:t TF F
<br /> FvcR -. ii T �157 � ^A i�PJ� t PAN
<br /> At the fol lowing location ?r+�7- " n i- La Y /�f/�
<br /> SKETCH �l�rE: PRcf�ea.ic.�TeD sNr_�7'r_2 r:G r, 3:4" I
<br /> %�FIiGN ST6F_L �f2AME FIETAL �'����11;(,�
<br /> (Work to be donel
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<br /> The undersigned owncn c�reby agrees to hold and save harmlesz the City of Voriante Required
<br /> Everetl $om any ond nll dalms for damages thal may arise becaose of Ihe Ycs...
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<br /> instal alion an moinlenance o( the improvemenl hereto applied (or and �---
<br /> further agrees lo remove iome upon nolice (rom tF.e City and ro replace all 1 No.. ._._..._. _._.....
<br /> public proper�y damaged thereby. j i}l i;7
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<br /> � C�OND/T ONJ NIlv ���`��u'r.• '`- � '
<br /> BtEN /�EY/E�GVED H�/T1S< ]'/S�E Signature ol Applicanl
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<br />� Telephone Number
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<br /> Inspecfor's Signature $ � �• �
<br /> - �T7� �_FG��'41 ��� r1l Fee
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<br /> Dale
<br />� �� �,_� � l _ ; � // DEPT. APPROVALS
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<br /> ri�.�.�,� ��'7i 7i
<br /> Remarks ' Engineers_
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<br /> Walcr—'� - .
<br /> Sirect •''f �' ' 'c.... .
<br /> G�mmunic IiaB J
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