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Permit No. :�� `��/......... everett <br />APPLICATION FOR DRIVEWAY PERMIT <br />yr�eu <br />N <br />GTY ENGINEERS a �� <br />EVERETT, WASH. v Approved By <br />The Undersigned P, T r —O 1-4/.S' 7-,P r) e' 7 LR1 Date Approvec <br />Hereby applies for permission to n4 Z f? ez T- 4 /6 Aspq, ,DIN/ <br />At the follo•,ving vocation__ � 7 E= !i' N F' j:. <br />SKETCH <br />(Work to be done) <br />/0 9 <br />ST <br />U <br />The undersigned owner hereby agrees to hold and save harmless the City of <br />Everett from any and all claims for damages that may arise because of the <br />installation and maintenance of the improvement hereto applied for and <br />further agrees to remove same upon notice from the City and to replace all 3 115 (' , ) <br />public property damaged thereby. <br />ON <br />FA <br />Variance Required I <br />Yes..._...---.._ ... ...... <br />No_.____...__.__._. <br />Telephone Number <br />3 <br />Inspector's Signature <br />Dale <br />$ ��V101— <br />F'ee <br />