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<br /> Permit No. . --'. _ - ..'-.''..... ...i
<br /> everett
<br /> APPLICATION FOR DRIVEWAY PERMIT
<br /> CITY ENGINEERS �� � � �
<br /> H..n
<br /> EVERETi, WASH. A oved By
<br /> / /% �- �� �lS :�� )Y12� `���
<br /> The Undersigned /�i'��"c.%_ //%� /c!l-�l!"„�' Date Approved
<br /> Hereby applies for permission to ���` '�^"� � �n / � '�- ` �� ���5i �' �f �f�� r>
<br /> � ' '� f• �7 �/ / /
<br /> At the following lotation , 1 , �� �'� `t J j �='-� ` �-'�"'?'°`'�:-�
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<br /> SKETCH m°� \
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<br /> � , �-�'"� ,,,ITH PLA'FEf� / i "� @�_ A.l
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<br /> Thc undersigned owncr hereby agrecs lo hold and save hormless the City of � Veriancc Required
<br /> Everetf from any and all claims for damages that may arise because of Ihe Yes
<br /> ..._._............._.....
<br /> inslallalion and maintenancc of the improvement hcrefo opplic� (or and No
<br /> furthcr agrees to removc same upon nolite from Ihe City and lo replace all -- -����---������-�� ����-�
<br /> public property damaged thereby.
<br /> V F7 Y` C6 CO.C'PbR�?�c.v
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<br /> �HC�2 ! /�� Ji��U
<br /> 3�/G Si nafurn ol Applimnl_
<br /> �', �SA'D �L, t. �Ct-=.f•c=T��
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<br /> � �3 /� GUovo r�. �
<br /> �� aad��tt
<br /> 33¢� i� �,
<br /> Telephone I�umber
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<br /> ��x�1 �} �:�� �� � �, �
<br /> Inspecfor i $�nalurc S '��
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<br /> Fee
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<br /> Da/e � ' � ' �
<br /> DEPT. .4PPROVALS
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<br /> Rema�ks Engineers {�� �'^r-`^ �'�� `� ` `�" �'�
<br /> Walcr . , �`.;= -:. . —
<br /> StreM
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