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. „ �1 <br /> Permit No. ... _...,.---�--.1.-.--.-- eVel'e� <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> � n� no <br /> ` . . <br /> �ITY ENGINEERS �) 4� .� � � ) � <br /> ry� 1 <br /> EVERETT, WASH. A roved By <br /> __ � MQ�1 �.r�. �Q� ` <br /> Dale Approved <br /> The Undersigned - ' ' <br /> ,' . i, <br /> Hereby crolies for permission to -'y �'' - � �;''` �� �� �. <br /> i_ �� � <br /> At the following locatian! '� �� `� E-' <br /> , <br /> �GO s c Oo9 laG'ia �cri'� i'G.,<. , <br /> _ ._z- <br /> SKETCH --------..�` __._..._.._..._...___ . _ _ , <br /> IWork to be donel I <br /> �'R�YIDE FOR � j <br /> � , .�f` €R C�RAIfyAGE <br /> ------ ----- - - _J _ _ <br /> -- - -� _; <br /> l '; �/ I C^ <br /> ' NOT <br /> CHECK 1':'IT!I !""T_R <br /> \ DEPT. i'i; 1. . � Ir!F <br /> � - LCCATI i�S ��F���� ',:i:CP�VATIGN <br /> ,� s;�. _�,.>: yEf�aYS <br /> \ 1�� ., , <br /> \ �-- �-- - <br /> +ta=-- <br /> � <br /> i <br /> I ��'/_-' �J _� —� / --`� C_C <br /> �, . -- <br /> / -- ---- <br /> The undersigned owner hereby agrees to hold and save harmless the City of Voriancc Required <br /> EvereR from any and all claims for domages that may arise because of the Yes......_.......__._..... <br /> installation and maintenance of the improvemenl hereto applied for and Na_...._._. <br /> _.. ..._..... <br /> (urlher agrees lo remove same upon notice from the Cily and lo replace all <br /> public properfy damaged thereby. <br /> Signalure of Applimnf <br /> Address <br /> `ryh -! '` -. ./ <br /> � ._) • <br /> :l ielephone Number <br /> �� <br /> � <br /> -�. � _ . . Dale <br /> � .�i1 .�. . - � � <br /> /�_, <br /> hupecfor's Signoture -�"-��- -- _�' L--.%�; r--�-� <br /> � � Fee <br /> "--� ,� , �� <br /> _ �:.' <br /> Dofr. <br /> . DEPT. APPRC�VALS <br /> `.c•T� !C 1�i ��: :i. ��. � i. i _ <br /> Remarks � Enginccrs <br /> � �Natef �r'r .� �- : ilul:. /�. . a i. �, .. <br /> � i <br /> .I ' /�l:Ql(> [Dr�i�c i� �i �. Slrect ' <br /> Communications � ��� — <br /> ii .' ._ - <br />