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"' 7� 2 2 <br />P �Jo. ... _ _ ..-.....-- �- ......... <br />APPLICA"�'ION FOR DRIVEWAY PERMIT <br />verett <br />I <br />QTY ENGINEERS �_- i'���� <br />� / �.1 � <br />EVERETT, WASH. Approved ey <br />, <br />Tn /1 ,��c�� zg ii'' � <br />The Undersigned �' V�' U— ��r�%•�,,c} p77 Dale Approved <br />{� <br />i <br />Hcreby applies for permission to-- �'�fl N S T A- .z0 Li GG% <br />A,t fhe following locafion_ 9f ^� �' �V ���' �*-/r�"h't.R:'iY.% L(.��� <br />SKETCH <br />(Work to be done) <br />poRN <br />I9a <br />�,.r oFP.^ <br />V N O� <br />���LG I <br />_.__ ._ ___— � <br />The undersigned owncn c�reby agrees to hold and save harmless fhe Cify of <br />Everett from any and all claims for damages thot may arise because of the <br />installation ord mainler�ncc of Ihe improvement hereto applied for and <br />further agrees to remove smae upon notice from the City and to rep�ace all <br />publiC property damoged theraby. <br />'L <br />� �� � <br />�J, - ' � � <br />� � �-�� � <br />� <br />qvE. <br />", , � <br />'`No scA�� <br />Variancc Required <br />Yes. ..... . _... _........... <br />No._ . .__......__.. <br />f � <br />� ' � i � r � � <br />Sn2:.1�i� !! ;'��`.D ::h�?'..•�: - <br />, J Y Signalure of App i�nf <br />9/�,� 9 '� ,_ _ . : , :. � . _. . � s ,_,� r- <br />�.'dd�es� —�`—'.. <br />