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<br /> Permit iJc. .. ___..._--•.............. ✓OJ'� A��''-`.�� ! , � ,i�, everett
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<br /> — ;'� APPLICATIO�I FOR DRIVEWAY PERMIT
<br /> CiTY ENGINEERS
<br /> EVERETT, WASH. Approved By
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<br /> The Jndersigned ��"%������1��-� ' '' � .���� -- Date App�oved
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<br /> Hereby appiies for permission fo
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<br /> At the following locution , 'i ` � � �. •�'' ;'-' � �' ,,�; '� / �/ —
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<br /> �'!,•=��v�' ; -`. �1 VEN�/�
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<br /> The undersigned ownen c�reby agrees to hold and save harmless Ihe Ci1y of Variance Required
<br /> Everel� from any and all claims lor domages thal may arise because ol the Yes
<br /> installation and maintenonce ol Ihe improvement herero applied for and No . . _..��.
<br /> iurlher agrees to remove same upon notice from the City ond �o replace all
<br /> public property damaged thereby.
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<br /> 7elephone Number
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<br /> Inspecfor's �F§naWre „ $�_l ;-� ': 1 c�
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<br /> DEPT. APPROVALS
<br /> Remarks Cngineers
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<br /> Waler
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<br /> Streef
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