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] .'_/ �. � <br />Permit fJo. -.,�._ �`..��_l.... <br />CITY ENGINEERS <br />EVERETT, WASH. <br />H�'rLICATION �OR DRIVEWAY �'::RMfi <br />F � � t2Y'".� r� �',�t ,a <br />'T y$-,' �4 iri ' <br />� �°� ' �.}*� •- . <br />�: s�£.: , <br />The Undersigned � L L c i 5 H M Aol <br />Hereby applies for permission to C'ONST, �} [' i��T/i /�I D i.r � <br />At the following location� !7� �/ ��/� S% <br />SKETCH <br />IWork ta be donel <br />� <br />Th� under,igned owner hereby agrees lo hold and savc harrnless thc Ciry of <br />EvereR irom any and all c!aims for damacez thct moy arise because of thu <br />installalion and maintenance of the improvement hereto applied for and <br />furlher agrees fo remove same upon nolice from the Cify and to replace all <br />public property damayr.d ihcreby. <br />Ir.cnecfor's Signalure <br />. S'/T% " Cr/EG KG /J ���'/7/ _ <br />Dale <br />3U�'xi <br />7;:� ��� tn4r,�_.. <br />everett <br />✓�Ji / <br />J��/ifU..l�/�/J'�/Ts :'/ <br />� Approved By <br />/iil 'r�fi3� �� %��/ <br />Date Apprcved <br />�---f�"�--�_ <br />� <br />Variance Reqvired <br />Yes................_. _..._.. <br />No. _._......._ ............. <br />�i� L,: _ <br />' % <br />/.����.. � / �. <br />Signafurn of Applimnt <br />�/z.i i��f, . , .: �- <br />Address <br />� ielephone Num6er � <br />Dafe <br />S IJ (� f�=�F�._:_ <br />Fcr. <br />DEPT. APPRO\'ALS <br />Enginecrs.—��� 1 ���,��� ---- <br />! -- ,�_ i�_ � / <br />Walcr <br />Strccl _- '_---_—__'____"___ <br />