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Permit No.....—�...... <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETT, WASH. <br />The Undersigned <br />Hereby applies for permission to r' OUSIQUCT A 2-2# D1)Y✓ <br />At the following location - 4nWA R D S% <br />PLAT <br />OF <br />everett <br />P pH <br />SKETCH H O W A R D S 7. <br />I\1r__I_a_ 1._ 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 />1 public property damaged thereby. <br />SzrT10rJ . <br />Variance Required <br />Yes— ......................... <br />No <br />Address <br />3f3- '75-G.<l <br />Telephone Number <br />G bV <br />S an k! <br />Dote <br />