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Permit No. �.��-�--f-.-- eVePe'tt <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> CIN ENGINEERS <br /> EVERETT, WASH. Approved By <br /> Da1e Approved <br /> The Undersigned_����Q � � `� <br /> Hereby applies for permission to �n�� � / � � �� / �/ � <br /> At the following location � �8 f I�ATi�C/Z ��/�� <br /> ;: <br /> SKETCH \ Q <br /> (Work to be done) � <br /> � <br /> I n, <br /> j� <br /> �V <br /> I ` � <br /> o `W �, <br /> m �1-- ll <br /> � <br /> 1 <br /> ��_�� �___ / <br /> i_� _�_�.__ <br /> / <br /> i/ <br /> The undersigned owner hereby agrces to hold and save harmless the City of Varianr,- Required <br /> Everelt irom any and all claims for damages thal muy arise because of Ihe Yes.._.. ..._..........._.. <br /> installation nnd maintenance of thc improvement herero applied for and No. .__. .__.__......... <br /> furlher agrees b remaae same upan notice from ihe City and to replace all <br /> public properly damageJ thcreby. <br /> ;� p ��- Signalure of Applimnf <br /> add���� <br /> Telephone Number <br />