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� <br />- Permit No. ..,(.....�... /.. � <br />everett <br />APPLICA�"ION FOR DRIVEWAY PERMIT <br />�ITY ENGINEERS _� ��� �/ ��^ / <br />--//� C t�%�.�l�t 'f" <br />EVERETT, WASH. ' —`�� Approved ey <br />/�%4RCi�.�% /Q %� <br />The Undersigned �D?I�i A tJ DF /� SD i.% Dare Approved <br />Hereby applies for permission to �'.oR�s7� '�f%� , �/L� <br />At the following locafion_�Dd S' ��/=1�s'.�L'-' R' /��y ,'�! j C�r�; � <br />SKETCH � <br />IWork to be donel <br />� <br />I <br />� � <br />I I <br />I ' <br />r' I <br />I ' <br />I ��Z <br />� i� <br />i � <br />� <br />� <br />, w <br />� I !> <br />, ��t� � � <br />a <br />,VnTE: =)JSTjqL[. !� C17y <br />TyPe °C� G�Rv <br />N <br />IThe undersigned ownen c�reby agrees fn hold and save ho�mless Ihe Cily of <br />Everetl from any and all claims for dumoges ihat may arise because of the <br />inslallation and mainlenance of ihc improvement herelo applied (or and <br />(urther uyrees to remove same upon notice from �he Ciry and to replace all <br />public property damaged Iherc6y. <br />�1� <br />Ppl�ktN� i u�/e� �� <br />�—_� _ � t�� 2 � Ea(ISTj/✓�. <br />__ /�i l ��t(vE' <br />12 <br />�xiT (;���`" <br />?a"' = _ _ <br />Variance Requirr,d <br />„_ y-v <br />c ScncG o.� F/}!Z"lNCr <br />No_....._......___....... <br />� <br />l <br />�.�:._'i'—iy:1� , i�'i��.�'cT�_.`;G��, <br />i � <br />�� liNi2-� - i t'. � ✓ <br />- � Signafurc of Applicanf <br />,,2 <br />il <br />( f� � �` r-}it. - �_t <br />Address <br />' i '; I <br />Telephone Number <br />� � <br />i r- -�' ' . , , . Dale , . <br />� <br />