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Permit No. .� ��--�..�... .G''... � <br />APQLIC.ATION FaR pRIVEWAY PERMIT <br />everett <br />CITY ENGINEERS �� <br />� r <br />EVEREII', WASH. Appruved ey <br />� •�.,�� �97z <br />The Undersigned A)ENtI LAN D GB AJS i. � o� �N�k" iQ� l�� �.pRsonJ Z Dare Approved <br />Hereby applies for permission tos'e,�7sT�0:4�y��y_F1 SLS' � P� �1 NT/�C�r /-�� _F� <br />At the following locaiion_ �� Z� <br />SKETCH <br />IWork to be donel <br />� � .1� <br />�•. �o� <br />E � E RGI�EEN <br />�� F'M/nl G- <br />The undersigned owner hereby ogrees to hold and save harmless the Cfy'nf <br />Evereft from any and all claims for damages that may arise becouse of the <br />installalion and maintenance of Ihc improvemml hcrelo applied for and <br />further ogrees lo remove same upon nolice from ihz City and io mplace all <br />pu6lic property damaged thereby. <br />v::�+AY -... �xCTl6M <br />fKb-.: sc,a,.�� <br />N� - N <br />1�0 '� s. gu_ <br />�.i......::__'-'—,' �_'.�_�.---__.—�-�' <br />_` l�-----"�-- �o' --------�j <br />�UpY <br />Variance Required <br />Yes.. _ ................... _... <br />-�i,���.� �/` //,:�..�, �; -l' <br />' TTignalure�of Applico�f <br />/� �. 9S �' - � �,. _., .= <br />Address <br />�s y- i,��� <br />7elephone Number <br />-:, -: <br />� oar� <br />