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Permit No.. ��j..1.1 _..-.--_ <br />CITY ENGI�lEERS <br />EVERETT, WASH. <br />The <br />APPLICATION FOR aRIVE�YAY PERMIT <br />i <br />everett <br />� <br />� �, : , � - �,.� � <br />..%Ap�roved By ✓ _.f�,.•' <br />�,: ��.�.� � :� Y -% <br />� ,:� Date Approved <br />Flereby applies for permission to r- n � � � ,C( / ��- �, � �1 �(��� f'� ll�l %� � ����U 1 <br />At the following location_ y� <br />b I -roi, <br />SKETCFi y � Q <br />IVJork to be donel �, 2 <br />;is --NoJt— <br />Y �' <br />� J <br />n N <br />— _ �,_-__ <br />I <br />���= ���� <br />_ f: .',"� ----._ — ;\:� "� <br />� �� ; �� -- 2Y DI �-' , °� <br />U� n µ <br />�C <br />i�_, � ,_J ;- :-_ - <br />I'' i I y3o/ ! <br />3 � ���� � �� <br />�,� <br />, j � <br />�. �`�- /'. <br />i <br />� <br />� � Q�°� � � <br />. \\ �'��.i . _ •`Vy <br />� , . ,ik. _-- <br />1 - <br />7 _ I <br />I � <br />-1.-= .,,. <br />�n� d.° 'a �'a .:. <br />� . ��/j,�. <br />�_ Pu� k��. � '� /,!. <br />—�i'� ,, <br />1�U� �� <br />The undersigned owner hereby agrees b hold and save harmless Ihe Ci�y of <br />Everett from any ond all claims for damages Ihal may arise because of the <br />inslallalion ond mainlenance of Ihc improvement hereto applicd for ond <br />further agrees to remove same upon notice from Ihe Cily ond to replace all <br />public prop^rty damaged Ihereby. �.---�—`—y'� <br />^"'—yR�YE}.rAY.��__5lCT10Id { <br />(uo- sewt�) I <br />Y <br />i!_� <br />' --_r-�'_._-r. <br />5r -: ).__.. _-- -- -- - - _ i <br />�` , . <br />,� ��� ' i'..�-- —�_ = I- <br />:._--�- { <br />. 4�r�.��A� 1 <br />J.�: <br />i <br />y3 �� <br />Variantc Required <br />Ycs <br />No <br />Si]1���`_.'Ap __�l_��.`.�„�,�J�_ <br />( J _� � • . <br />Signafurc of Applimnt <br />�-'��,) '; - � — <br />Address <br />7 ; .. �. - . .�� l `�� <br />� ( <br />Telepiione Number <br />