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Permit No...���.. g:... <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETT, WASH. <br />The Undersigned�,� <br />F <br />U <br />Approved By <br />Date <br />c�,,�sr. �I ��v/r r�/may A,✓r� <br />Hereby applies for permission to . a�� ! ' <br />Cry <br />At the following location+ <br />SKETCH <br />(Work to be done) <br />c <br />P. <br />4CE <br />'IPRA <br />i <br />i <br />i <br />r Sets f� <br />r4spN�l 1-7- <br />P/-l-,g CK�NG <br />The undersigned owner hereby agrees to hold and save harmless the City of <br />Everett from any and all claims for damages that may arise because of the <br />installation and maintenance of the improvement hereto applied for and <br />further agrees to remove some upon notice from the City and to replace all <br />public property damaged thereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />— 340 <br />I" LIP <br />r30" 1 f <br />•1 <br />'30"'1 <br />Inspec�gnature f <br />Ps—V)%AlkT)I <br />l3RoADWAY <br />wet <br />Variance Required <br />No............................ <br />Signature of Applicant <br />Address <br />Telephone Number <br />i <br />- Date <br />Azwu <br />i M S— 26 Fee <br />