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• % .--1 �� ,� -, J� <br /> Permif No. ..:...:�.. :.....�:_:....� y�, <br /> everett <br /> APPLICA,aI�N FOR DRIVEV�AY PEft?vtiT <br /> CITY ENGINEERS �J,,,�� ���� <br /> ' "_�— <br /> EVERETT, WASH. roved By <br /> /� , � / �c�'o�zti' 'Z3��,g <br /> The Undersigned���✓'�-��.� � ' "�'�� Date Appruved _ <br /> Hereby applies for permission to � � �5�. ��r2 ' l/C. <br /> At the following lomtion �-- %� `� �',�•'` /'� <br /> ......e......,,...,...,�....,,. <br /> SKETCH <br /> IWork to be donel <br /> �� <br /> L�' <br /> �;r <br /> ; <br /> The undersigned owner hereby agrees to hald nnd save hormless Ihe Cily o( Variancc Required <br /> Everett from any and all claims for damages �hat may arise because of the Yes <br /> _ __ ... .._...__..... <br /> inslallation and maintenance of thc improvemenl herelo applied for and <br /> further agrees lo remove same upor notice irom Ihe Cily and lo replace all N" ��- �----�---��� ����� <br /> public property damaged there6y. <br /> Signalure ol Applicanf <br /> Address <br /> iclephone Number <br /> --� �J , //" Dafe <br /> % Cr-/ r�ti i�i-<-ClfL4_I <br /> In pedor'S Signafure $ <br /> /��.y�9 Fee <br /> Dafe <br /> DEPT. APPROVALS <br /> Remarks Enginccrs� � -^ " �-h^^- <br /> Water.�� �-r <br /> Strcet <br /> Communications_ __— <br />