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Permit No:���..�...'�:� � �/ <br />APPLICATION FOR DRIVEWAY FERMIT <br />,h <br />i�' c ,�� <br />� , <br />� <br />everett <br />CITY ENGINEERS `�' �' � 1 (�"�,� <br />EVERE77, WASH. roved By <br />�/ �R�. �-, 1 qt�a <br />The Undersigned �./Uyn� 7 �/O F.�/��5. Uale Approved <br />Hereby applies for permission to�5i� �'"`�d J��N� ���a <br />At fhe following <br />SKETCH <br />IWork to be donel <br />���" <br />.� <br />��\ <br />�� f� <br />..�_ ..�,,,,.tiw,.�+...........:n.�...,�, <br />� <br />i FR��I�E FOR <br />IPt;:::'� ORNIf� <br />, / <br />t� <br />�4f�1 <br />C:,�l io ' �',:, � o. <br />`'_�D <br />The undersigned ownen c�reby agrees to hold and save harmless Ihe City of Varioncc Required <br />Everett from any and all daims far damages thot may arise because of the Ycs .. .. .... . <br />installalion and mainlenance of the improvement hereto upplicd (or and No .. .. .. <br />further agrces to removc samc upon notim from thc City and to replacc all � �- -� <br />public property damoged Iherchy. <br />r <br />Siynalure of Applicanf <br />Address <br />� <br />