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1/ �J t� <br />Permit Na _ _.,.:�y......-.......... <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETT, WASH. <br />everett <br />r—� ''� �� � <br />Approved By <br />/Y//./_/� �-��. ��/%i� <br />`� Date Approved� <br />The Undersigned a�"�' �'�� � ���-�� ���R <br />i <br />Hereby opplies for permission to �n�� �'F Q �^5 �1 u-� <br />Af the following <br />SKETCH <br />IWork to be donel <br />� <br />� <br />v <br />%2� st. <br />The undersigned ownen c�re6y ogrees lo hold and save harmless Ihe City of <br />Fverelt from any and all claims for damages thal may arise because o! Ihe <br />inslallalion and maintenance of d�e inprovement hercro app�ied for and <br />furlher agrees Io remove same upon notice from the Ci1y and to replace all <br />public prcperty domaged thereby. <br />i�._ _.� _._.� <br />n,�,,,�..,,,Y _. s« <br />�N9-_ SCAt�� <br />Variance Required <br />Yes. _......_.. <br />No. _ _. _..... <br />jl,',�!;<y2L;::�� ����;c',- <br />Sigralure o( Applicanl � <br />'����� �I, <br />