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..: , .. _ - <br /> .. <br /> _ .� i� C� . �� 1 <br /> P��ma r,�. .._. ..............:._._..... e�rerett <br /> APPLICATIOt�I FOR DRIVEWAY PERMIT <br /> CITY ENGINEERS ��{��I � v.ti. <br /> EVERETT, WASH. roved By <br /> � ; o�+obeY 23, �q�t <br /> �l-', .� ,. /� .%" ..�:.` /. Date Approved <br /> The Undersigne� P <br /> Hereby applies for permission to �� /���-�� '��t" �'��`� <br /> At the following location � � /�� � <br /> SKETCH <br /> IWork to be donel <br /> ,.::, <br /> �;, <br /> r�" <br /> . The undcrsigned owncr hereby agrces to hold �nd savc harmless the Cily of Voriance Required <br /> Everett irom any and all claims for damagee that may arise br:ause of the Ycs . .. _. ._. .__........ <br /> inslallalion and maintrnonte of the improvemenl hereto applied for and No . . .. .....__....... <br /> further agrees lo remove some upon notice (rom Ihc Cily and lo replacc all <br /> public prnperty damaged Ihereby. <br /> Signafure ol Applicanf ' <br /> Address <br /> ielephone Number <br /> ., <br /> alc <br /> ; 7 <br /> �� fZ� •7`�,,. (��-.c,c. L��� <br /> Inspedor's $j nalure � g <br /> / Fee <br /> ie%�;-�y <br /> �a�d <br /> DEPT. APPROVALS <br /> Remarks Engincer """"�"���./�� <br /> Water� � �—`� <br /> Stree! <br /> Cnmmunication; � --- - � <br />