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Permit No. _- _ _... <br />CITY ENGINEERS <br />EVERETT, WASH. <br />The Undersigned <br />APPLICATION F'OR DRIVEWAY PERMIT <br />,--_ <br />� � <br />�--- � , <br />i___' �� ' _--� <br />� ' i�,,,. ,- <br />� � <br />� ' " .. . "' <br />Hereby applies for permission ta ` --- --"—=—'-- <br />-.. . . �.� Hvi--a . <br />everett <br />�����/i -�� _ <br />Approved By <br />/>,i/riN£jF�c: /� /�7�;" <br />Date ApproveT— <br />--- <br />�anMs <br />Thc undcrsigned ovmcr hereby agrees to hold and save harmless ihe Cify of <br />Everelt from any and all claims for damages that may arise because of the <br />installaiion and maintenance of the improvemenl hereto applied for and <br />furlher agrecs to remove same upon naice irom the City and fo replace all <br />Ruk21 ic.AL9FtdY_domA9ed..them.hY <br />ur;�vu��.�N�:. _ ��cr1v� <br />_DR I V6wh\Y.. 51LCTI ON.._: <br />(d�V�' S,,;,,�•�� <br />� � 1 V 3Q, <br />� .� .,.— - •--_.._ <br />ti� _. _• .,?.! ? <br />j .._._.__` : ..,�.._� <br />1 <br />Signalure <br />, i i <br />�� ' A' ../1.._f�-.'`i ) !/.��� . <br />Dafc <br />Remarks <br />�i � <br />�0� <br />� " � � '_ "___..,_,��� \t± <br />..+-l------� M <br />('S!� $Cn�t <br />`ir-"��� <br />,. , ! : . <br />AvE. <br />Variance Required <br />Ycs......_.._...._ _ _ _... <br />No_....._._..._ _._...... <br />. <br />.[ :. /..'<< t <br />l 9Gi ���i'r ii �: , �;,� � <br />Address // <br />�.5 � � �. � ,:-- /1 <br />Telephone Number <br />A // / � � L' <br />J� �� <br />Dar� <br />� �� ��� ; � . <br />- � : �' <br />Fcc <br />DEPT. AF.'ROVALS <br />�// .. <br />� /1%���.?� �J iiC '.�" <br />Engincers- � � �� � <br />Walcr <br />Slrcet _T--- - - <br />.,. , i.�. :_r -.. .- <br />('--. irn!inns � — <br />