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-� / l <br /> . � `:� ! <br /> Permit No. _�,_.-" -- <br /> ..........-....... everett <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> CIN ENGINEeRS �.���_GCf2'�� <br /> EVERETT, W/1$H. Approved By <br /> s rin�.�' ,�'8 �7/ <br /> The Undersigned—LA 2 f% �/ f�/LL/S Da1c Approved <br /> Hereby applies 4or permission to C�N sT. A i 0 � D�/�l� <br /> At the following location XS�/l- E//�'i7f�"' f'% AGE <br /> SKETCH <br /> IWork to be donel <br /> � 1 <br /> ' <br /> �•� ,o� I 8 <br /> �� — __s ! —,- <br /> �-_,---- <br /> � 881b I <br /> 1 �, <br /> in'%l <br /> �—� ,; <br /> i`_� . <br /> . , ....,,,� v� r. <br /> ,. <br /> The undersigned ownen c�reby agrces to holc and savc harmless ihc City uf Variancc Required <br /> Everelt from any and all claims for damages Ihat ^cy a:i:c hc:eu:e af 1he Yes <br /> . ........_._.___ .._. <br /> installalion and maintenancc of thc improvemenl herelo npplied for and No _ . <br /> furlhcr agrees to remove samr. upon noticc from thc City ar.d to repl�ce aIl � �� �����-�� �������-��� <br /> puhlic property damaged thcreby. •�� �� � 3 <br /> IIFi1VEWT.Y:�•-SECLON � ` <br /> (N.9-_�SCAL£� �;-' I z �. . . . , • •i__:. , <br /> . ."�-;':�:= $igna re o( Applicanf �' <br /> ( i J <br /> �.ff.'+Jt� {}3a �l r� �s �) ,(7r<<'..,�( , <br /> + �`�� Address � <br /> ��..�Y�l.1 P �/ � J T � .. <br /> i"_"._.i,, �f � �✓ �� `./�' % <br /> � . . . _... _..._ _ � <br />