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. . �ermit No. �c�:.'�� <br />� �----��--�- �---.. <br />APPLICATION FOR � :ZIVEWAY PERMIT <br />CITY ENGWF'"S <br />EVERETf, WASf-I. <br />everett <br />Approved By <br />The Undersigned ��J �,���G�'%�i�- `�%�'�' E7C� Daie Approved <br />Hereby applies for permission to �%� J��T. �'���%'!"� /'/�-��L�/ / 1�'�ItJGC � n,t��S S <br />At the following locution—�-� ��—�����/� � <br />SKETGH <br />(Work to be done) <br />� ' : �'- � <br />�' N/G,�/ fl�.,%f ET: fEil/G� <br />. � �� �y <br />J <br />��l/�� ��X <br />The undcrsigned owner hereby agrees to hold and save harmless the City of <br />Everett from any and all claims for damages thal may arise because of the <br />installation and maintenance of thc improvement hcreto epplied for and <br />further agrees �o remove same upon nolice from the City and lo replace all <br />public proporry damaged thereby. <br />Variance Required <br />Yes.__ ._...__...___... <br />No. _ _.. _ _... . _.. _ . _ _. <br />Signr.fure ol Applicanl <br />