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� .- _? . � � _ , <br /> Permit No. ..._ �._r.._�..._...'- <br /> everett <br /> APFi.ICATION FOR DRIVEWAY PERIv11T <br /> CITY ENGINEERS ��p,,1 v, ���,;,,` <br /> EVERETT, WASH. �Approved ey <br /> �J .� Oc�ober 23_, �4t�Q_ <br /> The Undersigned v-"���1 �jt"LL ������ Daie Approved _ <br /> Hereby applies for permission to ��' / f'�—S�"� /�� ' ��` �' <br /> Af the following location ��V ���-� G'�S <br /> �....w, ....._ ,...._ .,,.....-� ._o-.:...., <br /> SKETCH <br /> IWork io be donel <br /> �-i <br /> �:•: <br /> The undersigned owner hereby agrees to hold and save harmless ihe City of Varia�ice Required <br /> Everell from any and all claims for damages Ihat may arise bemuse of Ihe Yes_............ ._..... <br /> installation and mointencncc of the improvement hereto applied for �nd „ <br /> No.....__._.... ._. .... <br /> iurther agrees to remove same upon notice from Ihe City and lo replace all <br /> public property �amaged Ihereby. <br /> i�L'� r_� .�.L<.' � . <br /> '� �;.. .- � �;�W� � -- <br /> � %/ ✓ ��� / �"`�`c-`'� o" - ' Signalure ol Applicanf <br /> �� � �� . _ <br /> ` ,�f,. � � : � <br /> � ' add�e,� <br /> _: , ��-p �, <br /> � �`;i/'�U �,,.,..._,.z_c,'_�;(� <br /> Telephone Number <br /> --� � �7 i Dafc <br /> � �����.�.., <br /> Inspecfor� ignalure � <br /> Fee <br /> Dafe <br /> DEPT. APPROVALS <br /> Remarks En�incers, ` ; y � <br /> Walcr�.,- � <br /> Slreet <br /> ` �„mmi�n�r,�lionc---- � . • <br />