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'rermit No. . . -- ---/ :........ <br /> everett <br /> i <br />�� APPLICATfON FOR DRIVEWAY PERMIT <br /> CITY ENGINEERS <br /> EVERETT, WASH. Approved By <br /> /L�A�1 /� /�7� <br /> The Undersigned �'- �/' " r _'t:r. , r � i,- :, , r: i � �Dare A .o� <br /> PlF/'S�7" / PP � <br /> Hereby applies for permission to —�� `-'TA/ /_ A A < p tasi L? _ - = P i 1 T �l! �t;" i '- _ <br /> At the following location -'� !'�— �'l " ✓ �+ ' C <br /> : f�,-� ,' . �= ;'-. 0' .4L_!_E � <br /> � <br /> IWork o be donel t(1 ,r��` � L�F y <br /> ,- �� <br /> ( -- I PARKING I <br /> T � ' <br /> O �� I <br /> C}" �, }, i � ,,. <br /> f� � _. I N m -----� <br /> , � � <br /> i lh� I I <br /> d <br /> 6 �ie{ <br /> � ' .x I I <br /> / � <br /> f ! , .� � <br /> �� ,,�'.> <br /> ,, , <br /> � . �` i <br /> L, <br /> ' '. ; -. <br /> � ; <br /> Thc undersigned owner hereby agrees lo hold ond zave harmless the City of Voriance Required <br /> EvereH from any and all cloims for damages Ihat may ari:e bemuse of the Yes . . . _... <br /> insfallalion and mainlenancc o( }he impmvement herclo applied for and No <br /> (urther agrces lo remove same upon notice irom the City ond fo reploce o�l � � - <br /> public property damaged Ihereby. . t�)��J <br /> �✓� ' �� _ <br /> , <br /> . , ��,��,�i ,�,;-� <br /> Signalure ol Applicanf <br /> /Ls%�J:_��-� f� /� <br /> A dresa <br /> .�7 ' GJ���� <br /> ielephone Numbe; <br /> Daf a <br />� �s qy" �dnr. hr'�oy1 ,,, �S <br /> Inspedoi� Signolure , ,- .� � i 1�;r.,. !r ^^ § ��� j-� 1_ ( - <br /> S'iT,E CNlSC.� -/ `� �s�7� Fee <br /> Dale <br />' DEPT. APPROVALS <br />. �� � <br /> Remarks En4�ineers �� '^ � ' <br /> Wnler -.1a�. ..,v-. I � - <br /> Street �" ': ' � � � <br /> �� -T!' t'1 i . .. _� . .s? <br /> 4cCn,nm..�..._�Itcn� . . <br />