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��1 <br />Permit No. _ ,:_ ._..:....---�----- <br />CITY EPJGINEE�S <br />EVER�Tf. WASH. <br />The Undersigned � � <br />Hereby applies for permission <br />At the following locati <br />SKETCH <br />IWork to be donel <br />APPLICAiION FOR DRIVEWAY PERMII' <br />a <br />_�---- <br />_ _ <br />•��" —�i ; �,, <br />_ � � . . , �. . , <br />�..A21.__IN DP-��%� <br />Thc undersigned owner hereby ogrecs lo hold anr� :ave harmless Ihe City of <br />Evere!t irom any and all daims for damages th.al may orise because of the <br />installation and maintenance of Ihc improver+rnt hereto applied for and <br />further agrees to remove same upon notice from the Ciry and to replace all <br />public property domaged thcrr_by. <br />/'% <br />� � -! .C-.'�—' ,i~ �` l�l'—.�i..t .. _ <br />� Inspecbr's-3(gnafure � <br />_. �:;i��� <br />���,. _ _ <br />Remarks <br />everett <br />� <br />A 6ved By <br />2 R�nl ���4 <br />Date Approved <br />: �. <br />Variancc Required <br />Yes. _. ..___......_... <br />No_.. _..__ .._._. <br />$ignolure of ApNlicanf <br />7 ' 1�/, . <br />Address <br />' -. _ . ..' � � l <br />ielcohone Number <br />$ <br />Dale <br />F�� <br />D[Pi. APPROVALS <br />/" � <br />�J <br />/ <br />Eng�necrs b` ���'�"� <br />WalCr ��=� <br />} , <br />c.; .. _ _. . . '__. __'_ __'_ _ _ .—' . <br />