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i - /-� <br />� <br />Permd No....�:::..- -.--.�...:: �- <br />CITY ENGINEERS <br />EVERETT, WASH. <br />The Undersigned� �-.��''����� <br />APPUCATION FOR DRIVEWAY PERMIT <br />�fs _- .;.�-� <br />Hereby applies for permission to �/' � s ~ '� � ' � �'�� �"' � `'— ' ��` `, <br />Af the following <br />SKETCH <br />IWork to be donel <br />0 <br />The undcrsigned owncr hereby agrees to hold and save harmless ihe City of <br />Everett from any and all claims (or damages that moy arise because of the <br />installalion and mainlenance of the improvemenl hereto applied for and <br />further agrees to remove some upon notice irom the Cify and lo replace all <br />pubiic prop�rty damaged Ihcreby. <br />(�C'��f��. 1�ZS�7li <br />�/ � <br />�I'� - <br />' /,. <br />..�.�. .� ::>�. . . <br />(ns�ecfois Signalurc � <br />i � <br />Z//�C <br />Dale <br />7emarks <br />Yj <br />`�y'� <br />`'J <br />C' <br />everett <br />u �.L tivvt <br />roved By <br />��r 3 ���� <br />Datc Approved _ <br />i�� 40 <br />� <br />Variancc Required <br />Ycs__......_ .............. <br />No... _._.____......_. <br />, �-/::>'��� z,,;� <br />� ` � Signature of Applicanl <br />/:fn��" _ �J�,�i�.. <br />i_ ,L. <br />! ' �- . i7n �� L.� 7 / � � � : �,.. . , <br />Address <br />- C"1�� � <br />Telephone Number <br />„ i— <br />Dalc <br />$ ��— <br />i <br />i_ �.�, NG . <br />Fee J <br />D <br />L '" � �' �/�� 4 <br />DEPT. APPROVA/LS <br />Engincers� � r'��^� �� V; \ D `-"'i^^ <br />Walcr � ' � .1 /. .��. <br />Strcet <br />� <br />Ccmm��^ir•,iion._--------- ._.--- <br />