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. <br />Permit No...��.../.../........ <br />. everett <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS _- � � ���� �� <br />EVERETT, WASH, - Approved ey <br />'/ F��3�-vi��--��� <br />The Undersigned� F�� 1� ��L ^ _ Dale Approved <br />i <br />Hereby applies for permission to i�0A1ST f-� Z� D 6�% � <br />At the following localion � B� �� l-� � �- B�DUI� f� �% E _ <br />SKETCH <br />(Work to be donel <br />P <br />I-{U�-f�R00I� <br />; 20 <br />Z� I 2 Z <br />_ -�- ---�-f — <br />2° <br />/n"1'AG.. _ .._-._.1�\�\ <br />The undcrsigned owner hereby agrces to hold and save harmless the City of <br />Everett from ony and all claiins ior damages �hat may arise because of the <br />inslallalion and maintenance of Ihe improvement hcrclo applicd (or and <br />furlher agrees to remove same upon notice from the City and lo replace all <br />public property damaged thereby. <br />z3 <br />/go3 <br />29- <br />, � <br />— -- -- - - - -; <br />� <br />Ycs .. _._.__.____... <br />No. ._._._.. ._..__.... <br />S�nnolurc nl �pplicanf <br />{_1-. <br />W <br />O <br />� <br />