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Permit No.....l.-�r-f� <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETT, WASH. <br />evered <br />�e <br />j0y <br />Approved By <br />Z6ozMBa6� ZzLQLL <br />The Undersigned N o W N t? D M Z E H E- Date Approvri <br />Hereby applies for permission to C 0 N ST A STA /JD A R D r I <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 />More C A146C.r L6rW77V ✓ <br />aF l- 47,W—,4!� S.yvr 0-0`1= <br />13E�d2F f�LirGit/G C�7£ <br />'38^j <br />Inspector's Signature <br />S/i7a G /462!a- �i) -111i 17i <br />Date <br />/�4Ly2- ZaCHTf 0 &1171lIV T.� -PlAtl <br />Variance Required <br />Yes........................... <br />No............................ <br />lloala-r d /Y/ Z e h e <br />Signature ofcant <br />�Aannr-�7- <br />Address <br />Telephone Number <br />Date <br />$ Al o FF-E- <br />Fee <br />DEPT. APPROVALS <br />Engineer <br />Water <br />Street _ <br />