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� � � <br /> Permit No.'�.�..._�� everett <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> r` <br /> �� .0 ,�: <br /> !, < <br /> ' ..�, _,�� � <br /> QTY ENGINEERS , ,�,�� _ <br /> EVERETT, WASH. � lpproved By <br /> Au<<�st- �.�, l�c�R <br /> •"(' i'� , -�'� �/'%�• Datc Approved <br /> The Undersigned � <br /> � f�' ;iJ, ..a� � ..- <br /> Hereby applies for permission to �� � l? �� <br /> At fhe following location f'���� � ' '��J� � n` ' r'"'�' <br /> .__.--^�---��-- <br /> SKETCH � <br /> IWork to be done) <br /> ���.�:C'�� J-- :'.'i`�- N/ Q,� <br /> �ISA. GDNC, Uti ':`�:. <br /> ;' , i�� <br /> � . --- -_ '► .!/.I` <br /> � , - -;: --- ._ _ <br /> I .� <br /> � � <br /> i '=�-�• ., 28 2� zR.� <br /> s <br /> � � � <br /> � <br /> � 4 �. ��1.8 147 <br /> -- � ------- — - —___ _____ <br /> Thc undersigned owner hereby agrces lo hold and save harmless the City of Variance Required <br /> Everell from any and all claims for damages �haf moy arise because of the Yes..._ _..........._.__.. <br /> installntion and maintenance of ihc improvrment hcrclo applied for and .. __ <br /> No.... ........__.... <br /> further agrees to remove same upon notice from Ihe City and to replace all <br /> public property damaged Ihcreby. `! <br /> C�1 <br /> G'": <br /> � <br /> Signafure o( Applicanf <br /> ,'t <br /> , . ^�'`-'_�� Addrer. <br /> ielephone Number <br /> � r=, %� Dalc <br /> ���2tr1.-- , �..�t-> <br /> � InsPe.:lor;,f�Signalure � S <br /> r <br />