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_ i n <br />Permit No.. <br />CITY ENGINEERS <br />EVERETT, WASH. <br />The Undersigned. <br />Hereby applies for permission <br />��. <br />At the following location <br />SKETCH <br />(Work to be done) <br />(A D <br />ca 7,1.v <br />APPLICATION FOR DRIVEWAY PERMIT <br />✓f_ <br />h' <br />2 <br />3�� <br />lam• <br />2 ram' <br />�eoclel <br />lip, rour� <br />The undersigned owner hereby agrees to hold and save harmless the City of <br />Everett from any and all claims for damages that may arise because of the <br />installation and maintenance of the improvement hereto applied for and <br />further agrees to remove some upon notice from the City and to replace all <br />public property damaged ther.:by. <br />Inspector s,.fgnoture ✓ <br />Dare <br />everett <br />�e <br />App v d By <br />Date Approved <br />�/L'l�l9i /L ia•< <br />Ala ,TE <br />EMI C IV ,eDC'.e 8 '" <br />CYOr 70 EIGCEE�� <br />(eeVCe TD <br />Variance Required <br />- <br />0 <br />Signature of 4pplicant <br />r3r-ct�l.eC__&7 <br />Address 0 <br />Telephone Number <br />Date <br />Fee <br />DEPT. APPROVALS <br />Engineers <br />Walcr <br />-- Street 17, leG" ucby: <br />