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'.nit No.�,54'1 .7 . <br />APPLICATION FOR DRIVEWAY PERMIT <br />0 <br />CITY ENGINEERS <br />o <br />EVERETT, WASH. 3 '" <br />The Undersigned ��Cyt��� / <br />everett <br />9 <br />Approved By <br />Date Approved <br />Hereby applies for permission to • &/ Z T M/,!:—: % G -/ S G 4 z- 4, m A- r G / T/ AE:- 0 •- H/ <br />At the following location 1//4 L 5 Tre E 7' <br />SKET <br />(Work to be do c) <br />/5 I /fL /3 /2 <br />// <br />/O <br />9 <br />(f) <br />7 <br />F!C/ST/A/G <br />I <br />�o <br />4 S 71,6FC ` i <br />The undersigned owner hereby agrees to hold and save harmless the City of <br />Everett from any and all claims for damages that may arise because of the <br />installation and maintenance of the improvement hereto applied for and <br />further agrees to remove same upon notice from the City and to replace all 1 • <br />public property damaged thereby. �I, `t <br />�l Se No P4efSCCd.t wtiNi N(s/{'',¢Hlr SI..ISF cue HAI& q /oe' IC't�Hs-{-wA•t <br />G��Q R/ �� Uu r FC-tt fil w S TRC{• �• W) 11. <br />�u 4 /t+C- WrvC.. <br />0 <br />Varionce Required <br />Yes. _...- .................... <br />No............................ <br />p / n <br />Signature of Applicant / <br />