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> <br />L' .. "� / . <br />'ermit No. -� -'-=-:. .c:_..__.. <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY EI�C;INEERS <br />EVERETT, WASH. <br />The <br />Hereby applies for permiss;on to %�'�-' 1� �`� �l <br />At the following location <br />�'" f i- <br />l o� C� -'-- �_. .�%iL. <br />� � <br />¢4 <br />24 L 8D� <br />_ I _--- <br />�' _ _ <br />_��{��� IS <br />___._J._.._�- -; <br />R---; 15Gf� ':..: ,' .� '. - j:�- , <br />�C�''�-. C. . /. F_.��._t GL. '� C� C L.L. ��'i <br />_ , <br />��� /t=- �-- ' ;' '1; <br />L%�`... ' :��� <br />Thc undcrsigned owner hercby agrees to hold and save harmless the City of <br />Everett from any and oll daims for damages that may or�sc becouse of the <br />instnllalion ond maiNenance ol the improvemenf hereto aop'�cd for ond <br />furlher agre_s to remove same upon nolice irom the Cily and to replace all <br />public property damaged ihcreby. <br />Signafure <br />De:c <br />Remarks <br />/r <br />C�<' �: c J�A �'L/' G- lc' <br />/ <br />,�(� `0 - <br />everett <br />%�: � � � . <br />!��t-�._ �✓, �r-�,_.�.,,.�_ <br />pproved By <br />I�o�['�n2 hc�r- ( i', . 1 Q lc� <br />Date Approved <br />I � <br />' 'i(�J <br />Variance Required <br />Yes. .. .. _ .._...-- <br />No <br />Signafure ol Applicant <br />4ddress <br />ielephone Numbcr <br />Dnfc <br />� <br />fec <br />DEFT. APPROVALS <br />i ;..� r(n/- <br />r.�. ,: ..Engin�crs ���'L u:�-1 /.4 r�'` i-c�.� <br />Water�5�� — <br />Sfrect _ __ <br />Coinm��nf..,it..,�:_ _. _ . _ <br />