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Permit No.... -3d.�'._,l. ..�.. <br />APpLICATION FOR DRIVEWAY PERMIT <br />everett <br />CITY ENGINEERS � � � ( ���` <br />� <br />EVERETT, WASH. �4pproved ey <br />I,� / �J �� anri� �Qla�l <br />The Undersigned �"�/ ����,Nj-�'.�'���'�% Dare Approved <br />Hereby applies for permission to ''f-'�-/'%Ar1 '� /! `. ` � --�i"�t' }✓'� a�Or��� �- �� � 7"� 2 �� � <br />At the following location <br />SKETCH --- --_._... <br />Work to be donel <br />�-.4'/G'� 4 i1/t <br />/ v'G- <br />�—�—��-~�- <br />i" _ �o' <br />�C/iil/ <br />�a iff <� I ,Z G. '. <br />i <br />�lv� <br />_��- � <br />- - -_,c�_ <br />../_,__ �-��.��c. J�..�c<�V�-: <br />Thc undersigned owncn c�rc6y agices to hold and savc harmless Ihe Cily of <br />Everett from any and all daims for damages thal may arise because of Ihc <br />installation and mainlenancc of thc improvement hereto applieu for and <br />further agrees b remove same upon notice irom the City and to replace all <br />publir property domaged Ihcreby. <br />Variance Required <br />Yes . . . _ .... <br />No <br />> I'/ '%?; ' <br />Signalure of�Apnlimnl <br />i `J1 ��� � `� <br />. ��'i , /'r'' �' Address <br />