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.. � � <br />' Permit No.��.----.-.. �----.-..- <br />APPLICATIGN FOR DRIVEV�!AY PERMIT <br />CITY EtJGINEERS <br />EVERETT, WASH. <br />everett <br />%� <br />.� � � <br />Approve By <br />/�vC% )� �'" /r� `i- I-� <br />The Undersigned � / � � �/ � �.�.J ( _ �� /'� f�C=- 1[ Daie Approved <br />Hereby applies for permissun to �� �J �� ��C....�� <br />At the following location <br />SKETCH <br />IWork to be donel <br />N4 ,D�I�Gf/�C� ,�1�''C�i U�,�'C/.J <br />,�E'GG, �r�/.s," sT",�r�U, r <br />ASP. co,NC.��e�V�_ <br />PE,e�,,�r :�Wz� <br />�3 <br />0 <br />8 <br />'4 `!' � �'�GA� O l} �7T" .. <br />/3FA ::/. i , <br />,N�,�Ess � cce�s�. <br />The undcrsigned owner hereby agrces lo hold and save hormless Ihe City o( <br />Everetl from any and all claims for damages thal may arise because of the <br />installalion and maintenance of Ihc improvemenl hereto applicd for and <br />furiher aqrees to remcve same opon nolice from Ihe Ci�y and fo replace all <br />public property damaged thereby. <br />��0 1�V ���=t �e pv e �- h�eic Y�o yC <br />�.Zn3%�+�� C'Xf'I'u�l@cI cnhc. CurG ��? r•;,�'���( <br />area /o ,C'�. �o�,f� a{ �ra�erfy /i��� . <br />�,-,�,.. <br />� <br />� <br />i f:t�'/ID" FOR <br />PRO��E�; D��;i�'��JAGE <br />Variancc Required <br />Yes .__ <br />No....._.. <br />.� <br />� y . <br />� � ����N�`,`� .'.. ..� �., _ <br />SignaW[e o/ Applimnf <br />� � = y-. , <br />� � .� A f � r � r _iw <br />' Addre:s ' a <br />