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<br /> - .�armit No. ......._...J.L...(L�':..
<br /> everett
<br /> APPLICATION FOR DRIVEW,�Y PERMIT
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<br /> CITY ENGINEERS ��``� G
<br /> EVERETT, WASH. ` � � aa � y ��z y �
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<br /> The Undersigned ����T �U<�--�r Da1e Approved
<br /> Hereby applies for permission to ��5 r�J� G :�-� � /�J//)f '�O/ik'/-t i� i�.l�''�' c :'�� i ��I'�•)f�� /�/•�(>
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<br /> �7�PL Ac� =;�is>. s�a���f�,� An�n P�d� ra�iTF/ Gen�c, f��T�iu��-n/ s/�,v �?i✓D �DG,
<br /> Af the following location� P�N'-� S r
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<br /> IWork to be donel -- -- DR E Al'. . SECTION._: '
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<br /> The undersigned owner hereby agrees lo hold and sove harmless ihe Cily of Variancc Required
<br /> Everell from any and all claims for damages that may arise because o( Ihe Yes
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<br /> installotion and maintenance of Ihc improvemenl hereto applicd for and
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<br /> (urther agrees to remove same upon nolice (rom the City and to replace all
<br /> public property damaged thcreby. �
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<br /> ,'rlddress
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<br /> ielephone Number
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<br /> Inspecfor's Signalure � $ �� -�'`�
<br /> S/%F _/�/=!"if'/_-!� �� �70 Fec
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<br /> Dale
<br /> DEPT. APPROVALS
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<br /> Remarks Enc�inecrs,—%
<br /> '%�Waler �' .� � � ,
<br /> Strcel -��- � � `�' "�
<br /> Communicolions �� - � �
<br /> Trn?fic _. __ . ._ .._ . —___ _ ._-_.—____-
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