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. �z� ��� <br /> Per,mit No. ._ ._....................... eVCI'E'tt <br /> APPLlCATIO�d FOR DRIVEV`!AY PERMIT <br /> .i1,!-, <br /> CITY ENGINEERS '' ;:-'G'/�i/.>�f/ <br /> EVERETT, WASH. - Approved By <br /> iy�9RCN /.`/� %�7/ <br /> The Undersigned Q eT 1'�0 6 E iC G Dnle Approved <br /> Hereby applies for permission to �m NST, �� $� 1�'Lt� _ <br /> At the following location�� F u uJ l. E R. A� r, <br /> SKETCH 2� � <br /> fWork to be donel <br /> yszs I <br /> —� �rr�'P� � <br /> t <br /> \ <br /> �.._ � ``� � � IVDTE"; <br /> � �P� \ , i8" _ . L.00�Irs �NI�1k�,c.� /t��;F;.: <br /> . _ <br /> �, \ _ T( <br /> � \ <br /> SHUY OFf 8EF!fn': Gi..;:�'[� <br /> � �O �� - . —• <br /> ��\`v`. <br /> \, �o \ <br /> `��r< <br /> ` <br /> � <br /> The undersigned owncn c�reby agrces to hold and savc harmless thc City of `� Variancc Required <br /> Everell from any and all claims for damages thal may orise because of the Yes... . <br /> installalion and maintenance of the improvemenl hcrelo applied for and No. .�. <br /> further agrees b remove same upon notice from the City and b replace all ��� ���� �����-- ���� <br /> public properiy dama9ed thereby. <br /> i <br /> � I ���� C�� t'� ����A����; <br /> : /�'� ����'�`l Signafure of Applicanf `' <br /> (.��`� '� <br /> /,�7t;Cz� . y11 !— .5 s7=�i�=,,� N�-- <br /> ; �' �.�< . r,,.-�-n��;e�t ���.-� . <br /> ��J -i � .� �, <br /> Telephone Number <br /> 'SYC>..l � .. <br /> , . ` _ - N / �G ��2a�.,�., <br /> Dafe � , , <br /> r-'3.^ .�' , . <br /> Inspeclor's Signolure $ ;) � �;i:.,;=,i , <br />