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_ _ <br />1 <br />Ferrt,�t No. .,.�....__`�-,.--_-- <br />APPLICATION FCR DRIVEWAY PERMIT <br />�verett <br />CITY ENGIIVEERS ����� � , <br />EVERETT, WASH. �r Approved By <br />/!l/Jdr.�/.f3�"�P /2�,�/ <br />The Undersigned � n E o �� �iH 50 A� Daie Approacd <br />Hereby applies for permission to C C �l ST, i1 C' 1 71� Si A N b fl 2D S�Gf/ <br />At the follow�ag location �� Z- M, /�D! SO �l _��_ <br />SKETCH <br />IWork to be donel <br />L..C�VV�.� <br />The und_rsigned ownen c�reby agir_s to hold and save harmless the City of <br />Everett from any ond oll claims fci damages fhat may arise bemuse of the <br />installation and maintenance of the improvement hemto applied for and <br />further agrees ro remove same upon notice from the City and ro replace all <br />public property damaged ihcreby. <br />RI GGE <br />0 <br />N��-� ; Cf,(Fc,� L��:,;,�-,-o,J o� <br />r-d�IrFg 7tr��.� on/ j3�r-vzr- <br />yLy;•- r;•.��: , �/; <br />`i 7'',Y <br />)nspecfor's Signafure <br />, SlTfr` �Hr�G:C:c-L7 ��� <br />Date <br />��h�/l�� -Z7 s�P/�.F?l�v>;1- <br />(� D, <br />D�� <br />O <br />� <br />n <br />� <br />� <br />T YEE <br />R L�. <br />Variance Required <br />Ycs.................... ........ <br />No..___ ..............__.. <br />;,5�3- .33 6 L/ <br />iclepl�one Number <br />Dafe <br />� /i� � �— � _ 1'— <br />Fee <br />DEPT. APPROVALS <br />Enginccrs- <br />-������f ��/�7/ <br />Waler _ �µ'� T 1/- l/ —7 <br />s��cer -- -- — <br />7"' <br />