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,—, <br />2 / � . <br />Permit No. ..L,," 1..1--..�.�... <br />CITY ENGINEERS <br />EVERETT, WASH. <br />The Undersigned <br />APPLICATION FOR DRIVEWAY PERMIT <br />//t' .� 'i`". _ �= <br />i <br />Hereby applies for permission to ' f %'"�'"� =+ � ���' � ' -''� "�'� <br />At the following location <br />SKETCH <br />�W� <br />,_ ...,.,_-;,.,, , —....._,_. -..... <br />E l/�'_:�/; t�'�`'� � i�� i�lf; -�t Y <br />The undersigned owncr hereby agrees to hold and save harmless the City of <br />Evcrelt from any ond all claims for domages that may arise because of Ihc <br />inzfallalion and mainlenance oF the improvement hereto opplied for and <br />further ngrees lo remove same upon nolice from the City and to replace all <br />public properly damaged thcreby. <br />everett <br />roved 8y <br />���u `�,1 ,1Q coq <br />Dale App�oved <br />15 F�� D: •r'r, l��P 1 VE WL� Y <br />Variance Required <br />Ycs._....... _...__........ <br />No. ___ ................._.. <br />� �L G�{iv_–G_` — <br />„�.! Signalure of Applimnt <br />v-1 <br />:L /F�� 0 �C�r.�� _ �LY <br />� � f�- <br />Addr // ' <br />✓ <br />3�5 =.�dn� <br />ielephone Number <br />Dafe <br />