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� ,� <br /> j <br /> -�-� �-,Q <br /> Permif No. ...�..`�.____,�/.� <br /> everett <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> CITY ENGINEERS ---,•- � , ] / <br /> :--�-'1�1-,,-�a � . 1�r-r<;'�a- <br /> EVERETT, WASH. -"`Approved By—r <br /> �/�''/� .� <br /> The Undersigned ��� �-L (j b 1'�`-:`� �NC:J . ' �Date Approved <br /> Hereby applies for permission fo- �n NS't 2 pc L � � �,�j ��� {��� ���� ��,� <br /> At the following location � � '= � �P-'1 t��`+�o�.� � <br /> SKETCH <br /> IWork to be donel <br /> � oT = 8 <br /> ��n <br /> I i 5�„�c <br /> � <br /> ��; �� � <br /> � <br /> _ _ � _ <br /> ; ------ -- <br /> , <br /> _ --- - '���� �...._.__ <br /> I� . I � � .. . . I � _ <br /> The undcrsigned owncn c�reby agrees io hold and savc harmless the City of Varionce Required <br /> Evereti from any and all claims {or damages tliat moy orise because o( the <br /> insmllation and maiNenance o( ihe improvemenl herelo applied for and Yes. ._......_..........._.. <br /> lurther ogrees to �emove same upon notice from the Cily and to replace all No....._................_... <br /> public property damaged thereby. <br /> �' � <br /> DRIVEWAY SECTION � <br /> NO SCALE �- �. �� i ..; � y`�."�%'C%J,� - - <br /> {� � I -j 7� Sign6lure of Applicanf <br /> I � � ; ", � /. <br /> � I° I ID / _. • •. . T'] 7�n �'C.� fl />�w f�. . : \ <br /> 1'� ry � <br /> Address <br /> 30" _I 30"J <br /> �� � � �`� -l� c� `� �1 <br /> Telephone Number <br /> " ----- — <br />