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<br /> Pe�,�, No:_�'-��"- _=' -- everet�
<br /> APPLICATION FOR DRIVEWAY PERMiT
<br /> CITY ENGINEERS
<br /> EVERETi, WASH. Approved By
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<br /> The Undersigned . �'-^ti�� � � ' � � %� � Dole Approved
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<br /> Hereby applies for permission fo � �� ' � ' � �_ ' �-' '�' ��`'�� � � :';f �'� • ''�
<br /> � ,1„ '9 � � !�`��. Q
<br /> !' � , ! ,_ '`/ . '/`1 � ,� 4✓ / � _ `,— f�
<br /> At the fol/lowing location" % .
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<br /> SKETCH �a:i, `, °
<br /> (Work to be donel
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<br /> � TO f3E SU5/=�/✓c7EU �`��/� f3tl2U�nlG
<br /> �, qNa NOT �-v � �LCEE D �' ' �R���,,-
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<br /> �, NOTE r
<br /> No7' To El/-Tf_'r,�, �, :,; .'• - '
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<br /> — --- -------- -__ _ . . 2 S;OED �/GN oO .�i';r�•
<br /> DUT D VE.P _'i TY !?QOf'c,�-`y"
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<br /> The undcrsigned owacr hereby ogrees to hold and savc harmless �hu City of Variancc Required
<br /> Everett from ony c�� all doims for damages Ihal may arisc becausc of lhe Yes. . _ .. .. ._.
<br /> inztallation and maintenonce of the impmvemenl hereio opplied (or and No . . . . . . __....
<br /> lurther agrees �o remove some upon noiice from the Ciiy and lo replace all
<br /> public proper�y damoged thcreby. ,
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<br /> ...� ('�-.i-, ..`; C ,��)c._ o(.,l —
<br /> Signalure ol Apolitanl
<br /> -`.IG rJ-O'- 4 �'IL- :.iC r��
<br /> i' �, � �? aK°)`l._, l.`In�����c�oc..
<br /> Address
<br /> �' i,,(� . �)CCti:)
<br /> Telephone Number
<br /> '_I [1 NiLI �_ ( y(,9
<br /> Date
<br /> �q . . -- ' .- n .. . �--
<br /> Inspedor's Slgnnfure - �.s- S
<br /> Fce
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<br /> Dale'
<br /> DEPT. APPROVALS
<br /> Remarks Enginccrs -
<br /> � � � ��-
<br /> Woler - �
<br /> Slreet u,? v
<br /> Communicolion: -
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