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'� � -7 <br />`Permil No. __.�...`.: �� <br />-�--........�..... <br />APPLICATION FOR DRIVEWAY P�RMIT <br />everett <br />CITY ENGINEERS � ',n, _ <br />EVERETT, WASH. proved By <br />, , , �c�ober�, IGb4 <br />„ <br />The Undersigned � �" ` � C � � ' "''� Dale App�oved <br />/i '.r � .�i't .�,���..:_„ <br />Hereby applies for permission to �'%�'s� `'` ' �'-'✓' `-"�-- �:-^ <br />At ihe following loca <br />SKETCH <br />(Work to be donel <br />i� <br />G 3 ? ;�, ,—.> � �- :. <br />``►�-•-_..,...M.,,,...,..�.�.. �....�,,.. . w-. . <br />The undersigned owncn c�reby agrees to hold and sovc hormlci: thc City o( <br />Everell from any and all claims for domages that may arise because of the <br />installalion and maintenance of ihe im�rovement hcreto applied for and <br />fvrlhcr agrces to remove samc upon nolice from thr. Cily and to replace all <br />public property damaged ihcreby. <br />i� <br />� yoYG;' - ��4`'T -- <br />Insaecfor's 5ignalure <br />� <br />iC� � 6/'1 <br />Dafe <br />'J <br />:'� <br />N�. <br />Variancc Required <br />Yes_ _. _........._.._. _... <br />Na_._ . _. _._..__.. <br />Signafure oF Applimnf <br />add.��: <br />ielephone Number <br />Dale <br />$ <br />Fce <br />DEPT. APPROVALS <br />Engincca.��"'�^^^•' v �""'� <br />W4ICf � . S <br />$�ffC� <br />Communicalions `"�' `�� � � <br />