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� �� � / ' - <br />i � <br />PermitNo._ _-"_.._ '.....� \. <br />� .... , <br />APPLICATION FOR DRlVFWAY PERMIT <br />Qveret# <br />CITY ENGINEERS �/ � ���-uT��'-- <br />EVERETT, WASH. A roved ey <br />2 , / <br />c�+bb�r 2� � q c�� <br />The Undersigned <br />�J �- � �`'J� �'"':�. �// C�.�'J`% iC � Date Appraved <br />Hereby app!ies for permission to f���%�?'� �/�� <br />At the following lomtion ���� ������� �'�G�� <br />SKETCH <br />IWork to be donel <br />The undersigned oaner hereby agrees ic hald c�d save hunnless Ihc City of <br />Everetl irom any and all daims for damages ihat may arise because ef the <br />installalian ond mointenance of the improvement hereto applied for anc� <br />�uriher agrees to mmove s�me upon nolice from the Cily and lo replace rd <br />public property domaged Ihereby. <br />� . . .�,..,�/�"� • (�11 � �I � �Y ✓ <br />� <br />=i <br />�� . <br />r� ���,�-� ��C�.�„r�t�e.� <br />�.-- —' H!�! <br />In sp edor's,5lgnaf ure <br />/l'/.L 'C,'/l' <br />Dafo' , <br />Variance Required <br />Ycs .. <br />No <br />$ignafine of Applimnf <br />Address <br />Telephone Number <br />Dolc <br />Fce <br />DEPT. AP°ROVAI$ <br />Enginecrs "' """' - -"- <br />Waler �G� � �. <br />�trce' - - -- --- -' <br />