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��, _ _ <br /> _7 � ��� <br /> . ,� � __ � <br /> P�,m�r r,o. ... _ _..............----- everett <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> CITY ENGINEERS <br /> EVERETT, WASH. L Approved By <br /> 2��.r�sf�,2 /�7/ <br /> The Undersigned ���22 y f�j � .L�S Date Approve <br /> Hereby applies for permission to�_ CON57: A /�i � �'GNc IL.C7F .�f/�(/ <br /> At the following lomtion ���-� - E�.i ,c�9oil.J �/ ,q <br /> SKEiCH <br /> (Work to bc donel <br /> cvr <br /> � � <br /> I N ry' <br /> Q <br /> � <br /> P��� � ' � <br /> �p O p <br /> I � <br /> � <br /> Q I � � � i <br /> J I <br /> cL I <br /> � I 2 <br /> N � I <br /> i � Iw <br /> � I � I <br /> Thc undersigned owner hereby agrees to hold and save harmles: thc City oF Variance Required <br /> Everetl from any and all claims (or damages that moy arise 6eccuse of Ihe <br /> Ycs ... ............ ........ <br /> inslallalion and maintenance of thc improvement hereto applied for and No..._.._ ____. <br /> furthcr agrecs fo remove somc upon nolice from thc Cily and fo ieplace all �--�-�"" <br /> public property damaged Ihereby. <br /> i <br /> L G� �i/.' �'- l S� �� � _ <br /> C "C <br /> Si<fnafure o( Applicanl <br /> ' � G- �_ ,f �.�! � �. <br /> Addrest <br /> � "�. , . G-/ .[ 4'1 '1 <br /> � / . ! � � � <br /> Telephone Number <br /> � : <br /> , .. � 2-i��� �i //- Z9- 7/ <br /> oare " i�_/- 7/ <br /> Inspecfor's Si�nolure S ('; r"' , "��F'2"f <br />