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Permit No. ._3'`^�-_f I � . -.,...,�.-,,�A <br /> _ ..� ever��t <br /> AFPLICATION FOR URIVEWAY PERMIT <br /> CITY EiVGINEERS <br /> EVERETT, WASH. Approved By <br /> The Undersigned � �M L-- �22 �� "�� �'1+ � _ Dote Approved _ <br /> ( � <br /> HPreby applie; fo� permi;sion to.�nhl� '�' � + A Itl � i Pc +L A fL �r� nIc �` ��_ . 1 <br /> � � � <br /> At ihe following locatior. � �-oe iC c'�� `-��^� E +-.�i �(�`� G� 'v �'� � �-^`TS 1 =�--oi— <br /> �,.- - <br /> , <br /> i <br /> _ �r.- �. .:. ..���,.�_ S.i_M1'.. . <br /> _,.___ . ... - _(/ <br /> SKETCH <br /> i'vr�r'� !o hP donel <br /> ��� �G/ <br /> _ Aspl,;: /f D/�., . <br /> 'o <br /> W . '" <br /> � ' 7bo� <br /> STS F[vx; i:; <br /> ..� <br /> : <br /> v - <br /> v <br /> �1 <br /> v <br /> L� <br /> U- fl <br /> J1. M .. <br /> w <br /> � �� <br /> � � �� <br /> l-\ ���, --� '=.- r-��t � <br /> Thc undersigned owner heicby ogrces to hold and save hormless the City of Variance Required <br /> Evcrett (rom any and nll daims for damages Ihot may orise becausc of thc Yes .. .. ..._... <br /> inslallalion and maintenante of ihe improvemmt 6creto opplied for ond No . <br /> furlher ogrees to remove same upon notice (rom ihe Cily and to reploce all � � �� ��� <br /> public property damaged Ihereby. <br /> v <br /> � � <br /> .�I. � i� �..i . . . ' �:�'_ <br /> � ' ' Signafure o( Applicanf <br /> j. ; <br /> � ,� <br /> �„ �j ,,% ,� , . <br /> �Address <br /> l_ � � I � <br /> -�- d <;� ��/ <br /> ielephone Number <br /> ' _ I✓ _ <br /> � Dafe <br /> I�r.cfor's��$ignolure S � d , p` - 10�� 1 � <br /> Fee <br /> -�alr-__.. _.. ._ _ — . __ _.__ - . <br /> i <br />