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Permit No. .�...�v...{..._. <br /> everett <br /> APPLICATION FOR DRIVEWAY PERMIIT ` <br /> CITY ENGINEERS ✓�f�° � �� <br /> EVERETT, WASH. �-�-_C=�. APProved ey <br /> �iZ7f3t=.�' �� �971 <br /> The Undersigned�,�F�� � I LL/S Date Approved ' <br /> Hereby applies for permis!ion to �n N� 7'� �- ! : � ��LU <br /> At the following location___�[�- �M�TLSO,✓ J�L Q�� <br /> SKETCH <br /> IWork to be donel <br /> e r� �2so� pL�9c� <br /> ---- - ---,---- <br /> . . --- -- <br /> ----_ _ _ . :;---__ _ <br /> ���'l� <br /> � i <br /> ; - <br /> '��—� i ,, 8813 ` <br /> ��, 5-p' � -4�-- R3 <br /> � I <br /> --- -: / _- - — -- _ . _ _ <br /> aE' <br /> �--------- <br /> � <br /> ! <br /> I <br /> � <br /> Thc undersigned owncn c�reby agrees to hold and save harmless the City of Variancc Required <br /> Everetl (rom any and all claims for damages thol may arise becouse of the <br /> Yes._ . .__... .._._.. <br /> installalion and maintenance oi tne improvemenl hcrcro applied (or and No . . <br /> (urther agrees to remove same upon nolice from ihe City and lo replace all � � ����--���������-' <br /> public properly damaged thereby. <br /> L�/ � <br /> � �.��i� ,� � `� �L �C��z <br /> � S�i�r(alure o( Applicanl <br /> ' .�' i <br /> � -- � 1�.��,�:.0 . <br /> , _ .,/_ <br /> ,��:<,: `�n�d,�f: <br /> � , <br /> c3 -�s - ���y �' �- <br /> Tefeph�one Num6er <br /> . ..� �� � � � — ��� <br />