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<br />Permif i`o.._..,'_ .._!_:....'".�.._V
<br />CITY ENGINEERS
<br />EVERETT, WASH.
<br />The Undersigned ��� E� � �
<br />Hereby applies for permission
<br />At the following location��
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<br />SKETCH
<br />lWorl: to be donel
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<br />APPLIC/�aION FOR DRIVEWAY PERMIT
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<br />Thc undersigned owncr hereby agrees to hold and save harmless the City of
<br />Eveietf from any and all claims for damages that moy arise because of the
<br />installalion and maintenance of Ihe improvement hereto applied for and
<br />further agrees to removc some upon noiice from the Ci!y and to replace all
<br />public property damaged ihereby.
<br />" 7`dC?'f L':
<br />CHECI< WITH WATER
<br />DEPT. FOR V:�ATFR iWE
<br />LOCF�TIQi�i5 6'�i=:')RL �xrnv.a� ior;
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<br />everett
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<br />{'ROVIDE FOR . — _ I
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<br />Vaiiance Required
<br />Yes__..
<br />No _..
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<br />Signafure of Applicant
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<br />�.s•�uai✓�� �T�G-oiv l7�`�•
<br />ddress
<br />233 —�2:zd
<br />ielephone Number
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