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Permi! No. _ � �.�';),..��.--- <br />CITY ENGINEERS <br />EVERETT, WASH. <br />The <br />Hereby applies for permission <br />APPLICATION FCR DRIVEWAY PERMIT <br />. <br />At the following location ��7 ����� < n N — <br />SKETCH <br />IWork to be donel <br />f0 <br />�4�c� �vnrr <br />s� <br />The undcrsigned owncn c�reby agrc�es to hold and savc harmless ihe City of <br />Everetl irom any ond all claims for damages thal moy arise becavse of Ihe <br />installation and maintenonce of the improvement hereto opplied for and <br />furthe� agrees lo remove same upan notice from the Ci�y and lo replace all <br />public properly dama�ed thcreby. <br />Siynalure <br />�7F =./�i�C:�:.�=il '�'�,y,,>, <br />Dafe <br />0 <br />� <br />�K <br />� �r '�- ��, <br />� Approved 6y <br />�%t i .� �l%7,� <br />Date Approved <br />� <br />� <br />� <br />Variance Required <br />No... _. _.... ....... _...... <br />,_} � �� / <br />.��✓t..�%�.:r�I'-:f. J�. T.�i�. �.f..44I�_:. <br />H Signafure ol Applicanl <br />/ <br />�' / C� <br />. . .i �,��.a.-.a`{•.l,_ •- � -/� _� 2'- �� <br />Address <br />i <br />.� � - ,t ; � ��l � <br />Telephone Num er <br />7/�.���/ <br />�— ore <br />s /L O l�y� A <br />Fea <br />DEPT. APPROVALS <br />v' � h� ����.J.� x/ % <br />Engincers y �.�- L!`,'"� <br />_...Watcr ' . . .. <br />S!reet -- <br />. i��or. � _ - <br />