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Permit No..3..��.....�i..."r?........... <br />CITY ENGINEERS <br />EVERETT, WASN. <br />The Undersigned <br />Hereby applies for permission <br />At the following location <br />SKETCH <br />(Work to be donel <br />9[AtE <br />I�,� �, <br />APPLICATION FOR DRIVEWAY PERMIT <br />� <br />G�_� <br />rr G' <br />Q <br />u,ri. s�� <br />-��*�r� <br />� <br />� <br />3 <br />W <br />S <br />� <br />..�m�r i <br />��` � <br />LUN�V� <br />T �' <br />� <br />�L_E --___ -- <br />4. � <br />� <br />2 ,� <br />_ � <br />3 � <br />-- 3 <br />4 � <br />The undersigned owner hereby agrees to hold and save harmless the City o( <br />Evereff from any and all claims for damages Ihat may arize because of the <br />installalion and mainlenance of the improvemenl herelo applied for and <br />further agrees to remove same upon notice from the City and to replace all <br />public property damaged thereby. <br />i I <br />� �y I.,> <br />�:�:i �?ti�"__`_fy�_%.]LL._"— <br />/ <br />yll� • <br />everett <br />� , <br />. i' <br />Approved By ~~`'� <br />l-��-��� <br />Dole Approved <br />�eE�saN.� <br />C�l,es r�YiNcS ra �v�G�ri.�rE Ta� <br />USC/.4LLY �3d?^'dhf ac/T Dn� �r1,E:9,_ <br />2 <br />�� <br />�i <br />�� <br />:-w <br />! <br />� ��� li^ �� ��ii ^ � <br />�`'�; � �; �: ��� E � i l� 1%, <br />�..611L:.�.__.:l 11F:..... . <br />Variance Required <br />Yes. ... .._ _. _._.......... <br />No...... _....... _. _........ <br />• � . jf;. <br />�� /,_�-- /'- .L�� c.' <br />Signalurc o( �Applicanf <br />�`- " <br />.-r ��-e'., �/I -:.<.. �/L- . <br />Address <br />