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Permit No. . �� ..�� � <br />APPLI�ATION FOR DRIVEWAY PERMIT <br />everett <br />CI?Y ENGINEER$ �,��� �n <br />cVERETT, WASH. `— ��y Approved By <br />�/v.v� /, �97z <br />The Undersigned WAT�iz SPEC�,��/S%�S C' �E1,1 � Co.uT',(�/�G�' °'� ,, Date Approved <br />zz3-ol- /oL <br />Hereby applies for permission to C-'o /J ST .�l /.5�� b�LV <br />At the following location l� aD�+- FL FM i nl G- ST. <br />SKETCH <br />�L�MIN� ��- - <br />The undersigned owner hereby agrees fo hold and save harmless the City of <br />Everetl from any and all claims for damages that moy arise because of Ihe <br />installation and maintenance of � the improvemenl herelo applied for and <br />further agrees lo remove same upon notice from fhe Cily and lo replace all <br />public property damaged Ihereby. <br />, <br />� - � �1i����.. 6-1 --%�_ <br />Inspecfor's Signa re <br />�� /T1� �NFC'rC/�.lJ �2. /7ZL <br />I"=50� <br />Variance Required <br />Yes. .... _.... <br />No _ . _. <br />,i� l� . — <br />. ��--��`i � �,�� , :,^-i� <br />Signa�ure o Applimnf j <br />WfiTFR CPE(��^L�sTs <br />�.i.1� � ; , 2151(i4� Weet <br />" ' Mounllnke Terrace, W�, <br />PR 8-9859 <br />Telephone Number <br />s//t/��-- <br />' oa�. <br />t, �� <br />s �S�`%=��c_ <br />Fee <br />