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Permit No. ....���.—�./...?.i..�....... <br /> PVPI'Pff <br /> APPLICl�TION FOR DRIVEWAY PERMIT <br /> CITY ENGINEERS p` � • �� <br /> - :�E�r��� <br /> EVERETT, WASH. --- Approved By <br /> r, ,. <br /> The Undersi ned�/� lh 4`U ' I �C�/J�� �� :'/�/l, ' <br /> ' "T--�-L� ' <br /> g 1 � s Dote Approved <br /> Hereby applies for permission to_���._;,5�'_p /� � �f�) <br /> At the following bcation �S � (��,�/ ro 1! 5 /1 t1 �/�') f P <br /> SKETCH _�_ ______ <br /> IWork �o be donel I <br /> ��� /� �2 <br /> � <br /> ��2b <br /> r �� <br /> d . <br /> — -- so -- -- <br /> � <br /> �, �Me ��soH (,ic��e,, <br /> \ - <br /> \ �-- <br /> � <br /> � <br /> � <br /> ihc undcrsigned owner hereby agrces lo hold and save harmless thc City of Varianca ReGuired <br /> Evcrett fran any and all daims (or damages that may arisc 6eca!�se of the <br /> Yct._.......__............. <br /> installalion and maintenance of the improvemenl herelo applied for. and No.... <br /> further a�rees to remove same upon nofice from Ihe City and to reploce all ��- -------- <br /> public property damaged thereby. <br /> � <br /> i <br /> l � : ;. i i ��� /� � . <br /> �� Sigr(alure of Applicanf ' <br /> �,�,�� - � �f �• . 5 /li:tir ;: :. . y <br /> ..� ;� ,�„ ; Addrnss <br /> � ;' � ; ;� �� _. <br /> Telephone Numbcr <br /> � " �! � ' �:" <br /> ' Date <br /> Inspeclor's Signolure S ( , Cl l� I\ l �g )' � f� <br /> - � U-��lL ._��'�� _��� <br />