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Permit No. .�L��.(,�..4�..... <br /> everett <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> CITY ENGINEERS ��f,+�i�`��Zrl.�.-Gi� <br /> EVERETT, WASH. Approved By <br /> � �F��iy.�E",R .����� <br /> The Undersigned� Q�Z ///LL /.5 Date Approved <br /> Hereby applies for permission to CC�NST• .y / � L7�<fJ <br /> At the following location ��z � — HF,�'SO,C� ,'�L�CE <br /> SKETCH <br /> (Work to be donel <br /> /Z T�- _� <br /> � No scH[.E <br /> �I <br /> � � -- <br /> �PNe°� S�z� <br /> I � <br /> I ' <br /> — — ---I <br /> /2� <br /> ' A r�.'.�� <br /> E"M�,esrit/ PL�IG,�' <br /> Thc undersianed owner hr,rrby agrees to hold and eavc harmless ihe Cify of Variancc Required <br /> Everell from any and all claims for damages Ihal moy arise because o( Ihe Yes.. .. <br /> . ._.......__......... <br /> installation and maintenancc of Ihe improvement hcrefo applied 'or ard No . . <br /> furihcr agrees to remove same upon notice irom the City and te rep!ec_ cll � �- -� <br /> pub�ic property damaged Ihcreby. <br /> {tE<iV_E\e.hY. ��_;S[CXfDN —'-__�. �, <br /> (iJD. _ SCALS� �- <br /> C� � <br /> ��— I /L.i.�t.l i' i' � .� % ,� <br /> ���� <br /> Sigrplure o( Applimnl <br /> � ` �-� �"�' ���� ` � �1�),4". <br /> �g l <br /> .__ .._ __ _ !¢. <br /> 1 " �: <br /> � ~~�"v _ --��1 t L� --_-�'_�.�,,'� y 'i` J t��y y Address <br /> � � . ._.__ :,-. -=�---� i � ; , � _ <br /> `' � '`'�'-/ i � <br /> , � � ') <br /> jI � Telephone fJumbui <br />