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Permit No. - - : ..:.:.... .. ._. <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETT, WASH. <br />everett <br />` -- <br />� Approved By <br />� , /�/%, ��1 /� �'✓�/�% �� p -�r/ ��/�7/ <br />The Undersigned PP <br />Hereby applies for permission to //1/S TAL/ ,4 P/a /ZK//✓l � T.P/� Gt/�'/GN �4 � �7 � /% <br />(nl /L/ _ /%�,� l/S�U �: /`� /�e�l,✓G:<�/�' 1/ �'�f%�.=i� <br />At ihe followi�y iccation ��— � �y ��ST i'��✓� <br />SKETCH <br />(Work to be donel <br />Thc undcr;igned owner hereby agrces to hold and savc harmless the Cily of <br />Evcrelt iron ony and all daims for damages Iha1 may arise because of the <br />installalion and mainlenancc of the improvemenl hereto applicd {or and <br />further n�rees ro removc same upon notice from the Cily and to replace all <br />public properiy damaged thereby. <br />i • {� ', <br />',�;�..•�ti <br />Variance Required <br />Yes. __ _........._. _..._.. <br />rio ____ ___ _ .._ _. <br />.1 ) <br />c �����.i �i, (i Y.-'): <br />' Signalure of Applimnl <br />