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Permit No. ��..�/........... <br /> everett <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> � <br /> CITY ENGINEERS l l ,�� <br /> 1 <br /> EVERETT, WASH. -' Approved By <br /> � -Ar�M�� '_/. /97/ <br /> The Undersigned L�+R�� 11 I LL !S Date Approved <br /> Hereby applies for permission to___roLVST, .4 /8 ' ��L.t/ <br /> At the following location���2.:^ E.HE/C6e9Al PLAGF <br /> SKETCh <br /> (Work to be donel <br /> ���^ 3� <br /> �� <br /> Sq°3 <br /> ,� y�P��i <br /> D <br /> I <br /> � , <br /> � �.pe � <br /> r �� _ � <br /> �.EN�,esa� P��t <br /> Thc vndersigned owner hereby ogrees fo hold and save harmless Ihe City oF Variancc Required <br /> Everett from any and all claims for damages that may arise because o( Ilie <br /> Yes___............_....... <br /> inslallation and mointenancc of ihc improvemenl hereio opplied for and No. . <br /> further agrees to remove same upon nolice from Ihe Cily ond to rr.place all �� -�����-�----����������" <br /> public properly damac�ed thereby. <br /> �1Rlv�•:.�. ,.- �, � : ���W . .. .. <br /> (NU-�.`SC11Ce� a ` . <br /> � � ' � <br /> � <br /> � � �C�!�/ i.�� /, <br /> ; <br /> Siynaiurc ot appiicant <br /> r ,1 � <br /> '-�°--�_ t��a:.� S��%� C� � � l�;r�. ,� �:� - <br /> •'.�� / <br /> ...(.�� / Address <br /> . t �}e, <br /> "'----�� .�� � , i J f�. - <br /> •, J� , ; � <br /> . r�i��i,�,-� ���",;t--- <br />