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.� ../<.� ' <br />Permit No.,,�'`�..:,...:.�J.�.:-.. <br />CITY ENGINEERS <br />EVERETT, WASH. <br />The Undersigned <br />APPLICATION FOR DRIVEWAY PERMIT <br />Hereby applies for permission <br />. i .I_" <br />l�' (._.:, <br />� <br />��_/t'��af"'f7� � � <br />Af the following location � <br />everett <br />--����,� <br />Approved By <br />/�l/6US` � <br />Dale Appro�•ed <br />inslallarion and maintenance of ihe impmvement herelo. applicd for and <br />(urther agrees lo remove same upon notice from Ihe Cily and �o replace all <br />public property domaged thereby. <br />Inspectoi s Signafure <br />�/�,���i.-s,�"/7 ��7��7C� <br />Dafe <br />`Y 7. <br />'J.. <br />No...__. . .. _._.......... <br />��� �� <br />Signafure oF Applicanf <br />3'1 /� <br />dd, <br />.�S 3 — 7'j� Z S <br />Telephone Number <br />-� � / ' . <br />�. Date �S �n/i�; <br />5 �% r '��' fj -3rJ3;J <br />;� Walcr vv•,�-. <br />$trecl <br />i .,�nvu��,�„utim,s __ <br />Fee <br />