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.. � . _' ' .+. <br />Permit No. � - < --`' -_ - �... .. <br />A?PLICATION FOR DRIVEWAY P�R1v11T <br />C1T'r ENGINEERS <br />EVERETT, WASH. <br />The Undersigned <br />Hereby applies for permissir�n to_ �����`�1' % /� l Z� D�UJ _ <br />At the following location �� Z� —� A R L i 1J D�' <br />SKETCH <br />IWork to be donel <br />Q�' <br />everett <br />,��; ,.�_�, <br />� <br />���� � <br />-- Approved By <br />/��,rici�l�rr.P —��% j. <br />Da'e Approved <br />7 <br />The undcrsigned owncr hereby agrce, to hold and save harmless ihe Ci{y of Voriancc Required <br />Everett from any nnd all daims for damages thof may orisc because of ihe Yes_._... ..._ ._.. <br />instnllafion and mainlenance of the improvement herzto opplicd for ond No. .. ... ..... <br />furt'�er agrees to remove seme upon notice (rem Ihe Cify ond to reploce all <br />puhdic oroperty damaged thcreby. <br />Inspeclor'z Signoture <br />s'T� � rrFC'•CE[J �� % <br />Dale <br />; Lj� �^l ,.,. �'` <br />:Z� �-.rh;r�� , � <br />�'�i �n ! .v r . <br />�Srgnalure of�Applimnf <br />�� .: <br />! �) � �. -, ..... . . ` <br />,... f z! � ��.:�`.-t:,6- _, s'"=—F,'li_' /-,�� <br />Address <br />� � 'f �� / ' <br />, I fl <br />ieluphonc Numbcr <br />Dafe . � <br />/ t. _' -j�+ - <br />S (�, 1—'} �.--'� . <br />Fee <br />}DEPi._APPROV�LS <br />EngineCis �' <br />!'�1/�i� ''/r;i. <br />\Nalcr � S "�� /;- _- ��� <br />�— <br />Slrecf <br />� <br />