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// l. . <br /> Permit No.�:...�� �. .._. � !'� <br /> everett <br /> APPLICATION FOR {�RIVEWAY PERMIT <br /> CITY ENGINEERS p��� V , ���`,,,�, <br /> EVERETT, WASH. Ap � v�d By <br /> . ^'� y " ~- <br /> -"; �5 UvLC; lc� 1�'(,Co`�. <br /> '�/i '� - .i � ' �� Date Approved <br /> The Undersigned�� �� �'"`� - <br /> , i <br /> Hereby applies for permiss:on to �'� i� '�"�• '�� , <br /> � <br /> At the following location l�'� i ''' -- '/ ' r� / <br /> SKETCH 1 <br /> IWork to 'c�e donel <br /> i:S ._..� ------ , <br /> �, . ' � � � 1 - � <br /> � c <br /> i " = ��,o ' <br /> 2 a i '7 <br /> �� l8 ' ,[15Ph',=-�L T _ . .. . <br /> Pt,�/C. C4.C�t� �✓�,, :.1..'. <br /> � � !—c=Jr�C J i V/�:= i !- %�r2/ V�C <br /> Thc undcrsigned owncr hereby agrces to hold and savc hormless �he City of Variancc Required <br /> Eveictt from any and all claims for domages Ihat moy arise becausc o( Ihc Ycs .__._-__.__........ <br /> instal�ation and mainlenance of the improvement hcrclo applied for and No . .. <br /> further agrees to remove same upon notice from the City and to replace all <br /> public properly damaged Ihereby. <br /> � _ <br /> ! ✓ �?0 � - <br /> Gr . _ '_: <br /> -. � ��� ' (`;� Signafure oI Applimnl <br /> � � � ({ , aad«:: <br /> iclephone Number <br /> .. . . , - �tr� <br />