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i -� ✓ j � � <br />Permit No.::.r'....�-':---'r:--."'� <br />CI'fY ENGINEEFS <br />EVERE'IT, V'/ASH. <br />A�PLICATi��� FOR DRiVEW/AY P�R��IIT <br />everett <br />� —� ; / <br />��,��� u.Cor,��,� ����.�T <br />Approved By <br />� <br />-c�:,, (�, 1 c�4�� . . <br />� / .;7 t T (� D Ic n�• . rn,:d <br />/ t � ' . /;1,i;',' I /i �� i "F� <br />Th= Undersi�ned�—��.� -- <br />�� �� '<' <br />,� c :: / /---- /1% � � <br />Herc`+y r.uplies for per�r�ssion to.���<:�' �=1—� � r �/ <br />____ ---------`�1��, fr,,,` _,:- ,, �,, ;, y� — <br />At the rollowir.g 'ov.�iao....____ `_.. _..... _. --- <br />SKFTCH <br />I�,Nork to be dcnal <br />Thc undersipned owncn c�re6y agrces lo hald and tove harmless 1he Ciry of � ;, - , ��J� �. <br />Everelt from any and all claims for damages Ihal may arise because of Ihe �C i-i'.�'•="� ���" �" <br />installation and mainlcnance of thc improvement hcreto applied for and ��. _� �^�� ,�,;;.- ..,� <br />further agrees to remove same upon noiice from the Cily and to replace all �-��'T ;' � , v`. <br />public property damaged thereby. �.Z )?-a-<-,-, r�yv� �� /��" `"` <br />/ ,i <br />� <br />��' � f\ 'I I ', ,Tc�NE <br />; ;. , <br />I-���„ri n, e,:� cr� r_xr_nv,'1TL��1 <br />,R VO � ;; FOR <br />F',:��, ; ^ D:;r,1,.AGE <br />Variance Required <br />Yes._..._........ _.__... <br />No......__..__.... <br />Signalure o( Applicanf <br />Addre:s <br />� ; <br />� Telephone Number <br />