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r� /`+ /� <br />. � ! <br />Pennd No. .........�c....,1...�...... <br />APPL(CATInIJ FOR DRiVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETT, WASH. <br />The Undersigned 'r�/ �'( ��' ��[,?�;F��;•w�;/ <br />' , l+ „,•) <br />Hereby opplies for permission to %'' <-=' � "� �/ `� � �' • <br />At the following <br />c�r�rett <br />, �� , <br />_�.Ma �f , ._l�. ��-.._i.. <br />� 'Approved By <br />��Ql�ri� ��tic�i <br />Date Approved <br />_ 7?.a.s" ;• ^ �s J�� , \ �-- .. �' �. I ��.� : � � � . <br />�— 1}Y-; - <br />� �._..,�.�.V..� -'-.--_ <br />SKETCH <br />IWork to be donel "� � � �-- <br />--�-�- <br />t " = 50' <br />�----- <br />Pu, �, ��/r�.� <br />� 7�t25 <br />G 4 /1/ <br />;-. <br />� �, <br />7e. �ft ? � ��_i '��_,� <br />� <br />a�• <br />v'< - <br /><�:�f%: c'drl�C. �?LZVNli��• <br /><::, /. <br />.r,.'" <br />� The undersigned owner hercby agrees �o hold and savc harmlcss thc Cily of <br />i Evere!1 (rom any and al� claims (nr damac�ee Ihat moy arise bemuse of ihe <br />ins�ollo�ion and maintennnce of �he improvmnent herclo applicd for and <br />furlher agrccs lo removc samc vpon nolice lrom thc Cily and ro rcplacc cll <br />public proper�y damoged Ihcrc6y. <br />�;'1 �'1 . <br />Variance Required <br />Ycs . . .. . . .. <br />No <br />;'!� ''j ..;i� f ��'';��� <br />_� � '� <br />S�gnature oF Applimnf - <br />