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- � Permit No. ..J�.L"�J--�--�-�---�� � everett <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> �1/J ' _ <br /> CIN ENGINEERS �„�ky �. <br /> •—.�-�— <br /> EVERETT, WASH. � Approved By <br /> , 3 - l� - ld <br /> The Undersigned »l �����'���'z"` � Dote Approved <br /> Hereby applies for permission to � '>� ' ' , � w �'� -t'--"''� `�'� <br /> i <br /> At the following location � ��" ' � <br /> Work o be done) �1 v• /v' � VE�'LAND� � <br /> ��ITE � '/�/GN C/�[oNE r"ENcE <br /> z• ��,� �; �i , , . _ . - . : � .. G,or� � <br /> TO� �F C-.�f,t�r`.'s�:�''�r1ciVT-- � <br /> > � <br /> i � <br /> �8 9 /o /l l2 l.3 /Q- /5 Ib l7 !6 � <br /> � <br /> � <br /> GAT�- - � <br /> f�Cl!'%'',�i.. �� Y'�. <br /> The undersigned owner hereby agrces to hold and savc harmless thc City of Variance Required <br /> Everett from any ond all claims for damages Iha1 may arise because of the <br /> Ye s. ...._.._................ <br /> installation and maintenance of thc improvemenl hcreto applied for and <br /> further agrees ro remove same upon notice irom the Cily and b replace all No.._..._._._............. <br /> public properry damaged Ihereby. ��` � � __. <br /> c? �;�� ,,,; �c .n !;,�� �G� . <br /> , �,. ;.�J_ �.: ., _ .,.t;� _ t::, ti . . ;� � t,: . lr ���� 7 <br /> , : ,. �,� � � , _ <br /> / . �c„�� ! �-.�� <i �.�_. __._.I <br /> . ;%. ;.ri,�.����1�.� ���f� ,�Cr{,', ��.r,d.�� v. � - $ignnfu�e of Applicanl <br /> // „ II�I I�.<=LL•c��� : / . <br /> ; �, <br /> I; ��'i�•_ �.>>- <br /> . . . . Address <br />