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_ __ :� -, <br />Permif Nc. — �� J <br />APPLICATION F�R DRIVEWAY PERMlT <br />ever�tf <br />CITY ENGINEERS -- ��'�*('P � <br />EVERETT, WASH. � Approved By <br />_L7--.i._-,r1�3� .�3 �s�7;/ <br />C. jO Lt'f rf Ucc Approved <br />The Undersigned�. L <br />Hcreby applies for permission to CCi/J`"�: �, C �7��/ �' i/�i�' r! �' ��1� <br />At the fol lowing location ��' �— N) �1 r' 1-� �^ '� `� T <br />;iKc (CH <br />IWork to 6e done) <br />�---�� w s:�,-r_ <br />\\ <br />� <br />z <br />0 <br />u� <br />� <br />Z <br />WILLOW <br />The unde�signed owner nereby a9rees to hold ond save harmless Ihe Cify of <br />EvereR irom any and all claims for damages that may arisc bemuse of the <br />installalion and maintenance o( the improvement hcreto applied for and <br />further agrees to remove ;ame upor. na�ice from the Ciry and to replace all <br />public property damaged thereby. <br />Inspecfor's Signafure <br />.5%%E �HEC,�'Ei) ���2�/ <br />Dafe <br />�F�/��UlL/) — <br />2U. <br />_ i _ _ _-- — — <br />i <br />i <br />Variance Required <br />Ycs.. _....... _._ _.. _. _... <br />No..._........._..__.._.. <br />F. d. C�Ow�{? <br />� <br />�� �- �O,�ou�-- <br />Sigcafure o( Applicanf <br />p j o 3 � ne n-c��� ��'" <br />Address <br />C .5 2 � 6 U / <br />Telephone Number <br />%Z- /- �� <br />�at� <br />_ s,�' l; F �= F- <br />Fee <br />EPl.-,APPROYAL <br />.�.��� �,�:,i1�, <br />Engineers. �„ r <br />vi.:: Watcr '.:.�o.:..� -- ): � 1 2'� <br />Strcet — <br />r ,I- ; , ; , <br />