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Permit No. _ _ <br />CIiY ENGINEERS <br />EVERETT, WASH, <br />The <br />APPLICATION FOR DRIVEWAY PERMIT <br />. � �r�,.�° � <br />' '`�7e!iC Jy <:''+ `��.. ' <br />Here6y applies for permission to ��--� 7-� " -_ _ -=� � :'', t= ' - <br />At ihe following locotion / `•' 'u' <br />'� ---__— <br />SKETCH <br />lWork to be done) <br />I <br />Y.J '.'� , .. ':::.f-`_ j�� <br />The undersigaed owner hereby ogrees to hold ond save harmlea: Ihe City oi <br />Everett from nny ond all doims {or damages Ihaf mny arise betau�c oi �he <br />ins�alloiion and moiNenance oF tha improvement herelo opplied For and <br />Iwthcr ngices lo remove enmc upon nolicc Irem Ihe Ciiy and to rcplace all <br />puUlic properly damaqed ihcreby, <br />],. r t �: - __ / a�_� ., � ✓t. �. <br />� :; <br />Incpecbri Signalure `T /� <br />r' 7�� � _" <br />Ir �:" � <br />Daie � <br />.. � ; �" , � , i <br />; ; .� ,," .:, _;,.� /,-•,: -,. , � <br />: �I�� �1.�"3�� <br />everett <br />G�t,,..:: �1_ C�'�-�. <br />Ap rared By <br />�J14 l�ur 1�{l.0� <br />� Unte Approved <br />�,I ' <br />� <br />_�� � <br />� � <br />� �' <br />'(`'�� ` 1 <br />V {', <br />� �1 <br />Varionce P.cquired <br />Yez . . ... .. ... <br />No.. _ ._.. . <br />`{ � � Si� uro of Appfic� <br />`��� � � �r � �� <br />dddreu <br />d�"�� e�- <br />_���..-�7 �']eaCi��2 �y4e'L—vR �� <br />Tc( ph no Number <br />. _6m. <br />Uafo <br />5 <br />FC2 <br />DEPT. APPROVALS <br />�j�(�l C��.,�� 11 <br />Ef1Qlf1l8hE """�L��-aA �,.. �--^" �""`a-�1. <br />Waler .�'�.�' _�:��i.}�� �"nr:y` i{� <br />r�� .�_l. _ f.~ f � �.'. q 'l.^L � <br />Sfreet _ , <br />. . �� , <br />Ccmmm.;...i��..�:__�� -- - ...— .'- <br />