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Permit No. .._..._.....::'.........:...... <br /> everett <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> --�—_�_���� <br /> CITY ENGINEERS ?� <br /> EVERETT, WASH. � --� Approved By <br /> / � <br /> C�Ji!/6_ /�', �/l'7/ <br /> The Undersigned `����JSC"��• �7'i�, Datc Approved <br /> Hereby applies for permission to��S T�}� G �--� r Ul.��/ati ��-'�l��i�!`/f�Y <br /> \ <br /> At the following location � �� �i �l�.��Sr !.�/c"�t4.J ��� J <br /> SKETCH <br /> fWork to be donel <br /> _ �� / , <br /> - - ___ _ - / , <br /> -- — _ � <br /> � <br /> � � <br /> \ <br /> -�' ' _ � I���y' � � <br /> -- „ <br /> - , <br /> _—_"..__.. ._ � 4.V'G . .. -- — I ; /�� . <br /> ____ _' '__ _ _—_ ^f <br /> Io' --__ 1 <br /> ; '� l �,Zz. ', J <br /> I � r <br /> � - � <br /> � 290� <br /> I � <br /> ` I <br /> ' 145 iq n <br /> Thc undcrsigned owncn c�reby agrces Io hold ond save harmless Ihc City of Variance Required <br /> Everelt (rom any and all claims for damages that may arise because of Ihe Yes............................ <br /> installation and mainlenance of the improvement hcrelo applied for and <br /> No............................ <br /> {urther agrees fo remove same �pon nolice irom the Ci1y and to replace all <br /> public properly damaged thereby. <br /> � �3�i� d <br /> ..._._. <br /> � .. . - �UR{V�_�✓AY . SCCT�ION-----+� I <br /> � ��70 $�A��� ) <br /> ��(%�Ld�d' ��' �'�`.:(��l' <br /> ' Signature of Applicanf <br /> � (��,�." ,! _..�. ... _—,.-_. da� .7 7 �� a�i.l_�,..,�.��- �•�_ /i; �� . , � <br /> t �,...1" _"' <br /> �L_ ,�� -;�;_, ` Address <br /> � �--__•__ .�_�___ � <br /> �:--- ---- _____-- 14�s ;- �,� � <br /> Telephone Numbcr <br /> V.,_.__.�___-..----•- -� - ,� / - %/ <br /> Dale <br /> -� , <br /> In:pecfor's Signalure $ ���� ` ." , . <br /> � - - --_.. _.- �� . _ <br /> -�. - --. . . _ <br />