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--7� �:-,, -� <br />� � __ , „; <br />i'crmit No..: _ - —' <br />APPLICA,TION FOR DRIVEWAY PERMIT <br />everett <br />GTY ENGINEERS �� � �� <br />EVERETT, WASH. —�r '� <br />cAf�proved Ry /�� <br />� /�� — % 7 <br />The Undersigned�9� _ ? 2A �-� � �—�� Daie Approved <br />Hereby applies for permission to �—�%rJ SC��� ��+( �; �'Z'���'j' f�1 `,��� <br />At the {ollowing bcation__�� Z S t�t0 Y T ��J � <br />SKETCH <br />IWork to be donel --_�.._._ -_- <br />�� <br />1�1� S�..qL� <br />. . _ . �-._ _.._ _. ___ <br />� ' r <br />� — <br />�An, b �<J�Pi n�� <br />. __ __.__. �/N.'r_— _ .. <br />�U sJI Ei' '; E.!'ii �� �� -- <br />-=-_'_____ ._ _ _.. <br />._ ___-___--` ---_ <br />, <br />.i. l oy-r A <br />ihc undersigned owncr hereby agrees lo hold and sovc hormless Ihe Cily oF <br />���ric�� irom any and all daims for damages �hat may arise because o( �he <br />in;tnllotion ond mointenancc of thc improvemenl hcrelo opplied for ond <br />!uriher ogrces b remove same upon notice from the City and to replace all <br />pi.blic properly damaged Ihereby. <br />'1 7 ZS <br />�JL�V <br />j>�DEWR�tc <br />_/� �_,'✓Jc�c�E <br />�F.� /STXN(r <br />�-, _ _ _ <br />1,5 d l5� � _ <br />_.. __��.a,.��-��.... <br />I <br />i <br />I <br />rIn <br />Y/ <br />L <br />f <br />EY1 <br />f,1 <br />� <br />J� _ <br />/ <br />/ - - ---�•— <br />Nariance Required <br />Yes <br />No . <br />_ �.�a . _ u�l �Y.�% <br />nalure of Appliconf <br />�.C�. � �7_.� , <br />--� �- �- I I �� <br />_���� - <br />Telephone Number <br />