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Permit No. . ��` � � <br />. . � �a:< 'S. <br />APPLICATION FOR DRIVEWAY PEfzMIT <br />everett <br />CITY E�JGINEERS � j����� <br />EVERETT, WASH. �� Approved By <br />n��/ ,1'l�4`% c9 f�y:a <br />The Undersigned �� C� L- l"` -(�/.� 1G Daie Approved <br />Hereby applies for permission to rr� N S'i� A Zd � .�./�lN <br />At the follawing location ��Z 7— �f�L L- s� :1,� i <br />SKETCH <br />(Work to be donel <br />\ <br />_,�, DU�.� Av�, <br />2 <br />a <br />I- <br />� <br />7 <br />J <br />N <br />4 <br />� <br />The undcrsigncd owncr hereby ogrecs to hold and savc harmicss Ihe City o( Varion[e Required <br />E�c�cu from any and all daims lor damages fhal may nrisc because of Ihe Yes <br />installalian and maintenancc of Ihc improvement hmefo applied ior and No <br />further agrees tu removc scmc upon nolice (rom the City and to mploce all <br />pubht property damagcd Ihcreby. <br />i <br />c`�� ✓�',�'! <br />� Signafvre ol Appliconf <br />.3c��-ivn sh�. � ,y <br />Address <br />7 `/-�- 3 i/ �i. <br />ielephone Number <br />