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. _j ": ', <br />r. <br />Permit Nc. _----'- ...—.. _ <br />CITY ENG:NEERS <br />EVERETT. W"SH. <br />The Undersigned `,� <br />Hereby applies for permission to <br />At the following locatian <br />SKETCH <br />IWork to be donel <br />APPLICATIO�J FOR �RIVEWAY PERMIT <br />� r"�R - <br />,;:,. �R DRAINAGE <br />_-� .:.-� <br />� � �� <br />;k'iJAiE�t LINE <br />everett <br />{;,-� 1 <br />�a�., �, . ��,.-�. <br />a �o��a sY <br />2.Co N�o�.lemh�r l �'t ld ( <br />Dat: Appraved <br />, i� . . - .?'�. �,. . <br />� <br />-- --- ----- �; <br />--�-- <br />--- � 2 �1 <br />�._._. _ _ ,__, .r =.�.�_._.__ <br />Thc undersigned owncn c��cby agrees lo hold and save hormlets Ihc City of <br />E:•erell from ony and all cloims lor domages Ihal may arise becouse of Ihe <br />in;lallalion and maintenance of thc improvemcot hmelo applied for and <br />further oc7rers te remove ^.ame upon notice Irom fhe Ci!y and 'o replace all <br />publie propc�ly damaged Ihcreby. <br />; 'I �✓"�/7Q <br />- � ��,�;/�) <br />t / <br />�.: �-, <br />� , <br />,c. � <br />� I <br />Mw'<�� ,.._, . _; ...� <br />Variancc Fcquired <br />Yes_ _ <br />No <br />Si�r„�lure of Applimnf <br />.,1,� �- - — .-� <br />, _ _'_ � � • �F/o„ <br />� ada,�:t - <br />T�I���.,...,�, ni.��,l.:,, <br />