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i <br /> , <br /> P��m�r r,o. .. ._..�_�_g........ everett <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> CITY ENGINEERS ��---�Q�Tj �/� <br /> EVERETT, WASH. -�' Approved By <br /> .- <br /> i.. - - �0 �� <br /> The Undersigned� ��. /`�/�'��'�sdj'� Date App o d <br /> Hereby applies `or p�rmission fo.1��-2�AG� � 2 � �������. ''�' �'�f� � `� <br /> At the following �ocation__y�:�G/�`��5.=�/tJ7r /`1�G — -- --- <br /> � <br /> --- ---- -- _ _ _ ---- <br /> SI:ETCFI <br /> (Work to be donel <br /> ci���:=,:;� qd�. ` _ — � `A�'s;. ,.;�'z" c"D�c <br /> _�f�? --FRuviOE /�" Cu�veu{' �cy c� voi�,n�� L <br /> ---- � � <br /> iNslaa[.. i2' cvioF ;15/�t1 p,c7 v� ��� Y <br /> �` �"'� _f 33/--� <1 <br /> � <br /> � <br /> The undersigned owncr hereby agrces to hold and savc hormlest Ihe City of Variancc Required <br /> Everetl from any and all claims for damages thal may arise because of 1he Yes <br /> inslallation and mointenancc of thc improvemenl herelo applied foi and No........�_.�........�..... <br /> further ogrees lo remove some upon notice from the Ci1y and ro replace all <br /> public properly damaged fhcreby. <br /> -o �j '� , -., ��� <br /> �' , �,,! ;� . <br /> L,C-i/�.�!� . ,�/ � �,. :������ -0 �;., : <br /> Signal�re of Applicanl <br /> y.3 �� i C_',� :�� , (� ��� , <br /> _�,� .,� � Address <br /> .i • . � <br />