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- � I/.` <br />Permit Na�_...//�—.�...�i <br />CITY E�!GINEERS <br />EVEP.ETT, WASFi. <br />: ' - %� -. <br />Tne Undersigned � �' ' — <br />Hereby applies for permission to— <br />At the following lucu�ion <br />SKETCH <br />IWork to be donel <br />APPLICraTION FOR DRIVEWAY PERMIT <br />'/, , �- ;.� <br />� <br />/. i '/� <br />T <br />Y / <br />e�verett <br />) � � . <br />�,�� t�,��:c� �.i. L�, ': ,ti,-� <br />roved By <br />cJune ¢, l`�Cor{ <br />Dale Approved_ <br /><� ,q /� L / /�/ <br />,.� ,� r' _e . " --- <br />/ ) �-, <br />G.J /Y <br />18 <br />� <br />\ <br />; �„ � <br />The undenigned owner hereby agrees lo hold ond savc h�rmles= 1hc C'•� of <br />Everett irom any and all doims for damnges thal may arise because of ihc <br />instnllalion and mainlenance of the improvement herclo applied (or and <br />further agrees to removn same upon notice (rom tne City and to reploce all <br />pu6lic property damagcd thereby. i <br />i <br />_ ) / ' l: <br />i�i (r! i��f''�� f <br />:'yf:;� ��'/ 1 <br />.^��'� � <br />� � .i17' /—•^ i.. _ _ . <br />Inspeclor's�Signature " <br />i <br />/� <br />Dole <br />Vm:ance Required <br />Ycs . . ... . . . . ... <br />No <br />$ignofure af Applicanl <br />n�a,�55 <br />Tclephone Number <br />Dafc <br />$ <br />Fce <br />DEPT. APPROVALS <br />1 / ,� � � <br />;\ r' ��(��� \ / ! <br />Enc�inecJr}_G���'r'//•'i� V��G�I.r<„_; <br />`:1'aic. ( �i �-d�-C..�._ _. _._ _ _ _ <br />