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i <br />..3�i� `�71/� <br />Permit No. . _ ..... .. ..,l.....Y..... <br />APPLIC,A�ION F�[� DR1VEVti�AY PERMIT <br />CITY ENGINEERS <br />EVERETT, WASH. <br />E'�E <'s.�(t <br />r� � <br />�� .i l,rj.n.,a, , � �, ( �� _.t-.,.. <br />� JApproved Oy <br />'3 l �il��t <br />7he Undersigned_ V���'�F ��'�%ra�'"'� Darc Appro�ed <br />1 , y, i -, � <br />+' �. ��f1.7 .—S I� '•,� r? -;�f y,ly '%''?'�: �l/f � i�� �— / :J � C_ �J <br />Hereby aoplies for permission to� -- ,- - <br />AT the following <br />�� - .._.__ . ._. _.. _ <br />..__..,.._...__... _ .._. _ ...,... . __...__- - <br />SK�TCH �.�. ;_= <br />lWork to be donel —_�. <br />� i. _ �� � <br />-,-__ <br />DU, n. 2�w <br />G!J �l/ <br />; � <br />; ; <br />6<°� � ,. "��;:� <br />Za � I If <br />9 B I i `� � J <br />I <br />v' <br />y �./. <br />/ <br />,��' <br />d�P. �nNc. �:c/tuVS <br />The undcrsigned o•++ner hereby agrces lo hold and savc hormless the Ci1y of <br />Everett Irom any ond all claims for damages ihot may arise because ol Ihe <br />insiollation and maiNenance o( ihe improvemmt herc�o capGed for and <br />further og�ees lo remove same upon nolice (�om Ihe City and ro rcplcic all <br />publie property damogud thcieby. <br />_ ,-- , , <br />. . '' ' '____ __ _ -' . _ "__ <br />/ � �.' � �/•vi / �� <br />I <br />t <br />I <br />1 <br />��� <br />Voriance Required <br />Yes. .. . ..... _. .. .. <br />No. ... ..... <br />� ,;' i' l <br />.l: xf'�l 'i'i-SK�.:1. '-. ':.���.�i> <br />Signafure of AppiimN . <br />Address <br />Telephone Number <br />Dafc <br />