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_ � f / . <br />Pesmd No.� �-._;...�- <br />CIT�' ENGINEERS <br />EVERETT, WASH. <br />The Undersigned.l ��✓_=' � <br />Hereby applies for permissiun <br />Af fhe following loca�i<m !-3�� �� <br />SKETCH <br />iWork to be donel <br />APPLICATION FOR DRIVEWAY PERMIT <br />. . _ '- �'��','.l <br />_ �. i , �.=: it/;_ � '� <br />everett <br />_ ���'/,_ `�� <br />Appro�d By <br />Dare <br />--� <br />O /rL .4 /-�CJ�I/I!� fl t/E'ti.�C/c=� <br />- � <br />The undersigned ownen c�reby agrees to hold and savc harmless Ihe City o( <br />Evcrclt lrom any ond oll daims for damagrs Ihol moy arisc because of '4e <br />installation and moinlenancc oi the improvement herclo applicd lor and <br />furlher ogrees lo remove s��me upon nalice from the �ily end to rcplace all <br />public properiy damaged thereb��. <br />�:). <br />Inspedor': Signalure <br />1�ilT/_�� f/1_=c'.;CFi) � / '�c- <br />Dole <br />Remo�ks <br />iy✓D T� : <br />D�n�= iv�,�y � C� �� ��, =:� <br />F�usriiv� C-uY .By .� <br />Voriance Required <br />Ycs <br />r�o <br />%�(��� �./".i'�. /•--1�',� lf � <br />Signofure ol Applicanl <br />��C'ry �`�Nkf�( N ��L � lY�'.uar, <br />Address <br />.7[/"�, � 7/ ) <br />7efephone IJumber <br />'�" � C J� . <br />Dole <br />$ 'j.'.i,d� <br />�i�' �.1 <br />Fee <br />DEPT. APPROYALS <br />�/ �, � .. , ;, �c`_1 , , <br />Enc�inccrs"---"fY[!''l/��./:'z` �ij.�J�: <br />�Naler � .. l� . . <br />Street - <br />