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. �_ / - ; <br />,� <br />Permit No.. ✓..:'--:.:.—._'-.— <br />APPLICATION FOR DRIVEWAY PERMIT <br />� L— � r— ' . <br />� <br />CITY ENGINEERS <br />EVERETT, WASH. <br />The Undersigned <br />r <br />--, � ; <br />1 r �J <br />� ;�_ � <br />Hereby applies for permission to �-�' /' ' T f� �� � D�/�' i <br />At the following location � L��� � `��� �F �' 7 <br />SKETCH <br />IWork to be donc! <br />� <br />=�, <br />The undcrsigned owncr hereby agrees Io hold and save harmless Ihe Gity of <br />Everett from any and all claims for damages thal may arise because of Ihe <br />installation und mainlenancc o( thc improvement herclo applied for and <br />further agrees to remove same upon notice from the Ciiy and to replace all <br />public properly damaged Ihereby. <br />�.ew,r.Y: -."Sr.c7'lON <br />(iVti�� -SCRLL� <br />K <br />;,`',; _...__.---'��1_1.-� !o <br />__._:__:'y_ <br />everett <br />� J � �:.. <br />`� Approved By <br />c �JN.� a'. /i�%/ <br />Date Appioved <br />.->"T� <br />Variance Required <br />Ycs. _....._._.. _ __... _. <br />No_.._. ...... .. ._.. <br />'� ���; r � � . <br />, . �. •, <br />.< �:�C�G:�.__:.. ; � <br />Signalure o1�l4pplimnf <br />.SkiZ oZ � v, �-- <br />Address <br />���-3 •�2 .3 .�. <br />Telephone Numbe� <br />1'�qo <br />