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Permif No....���.�.... <br />APPLICATION FOR DRtVEWAY PERMIT <br />CITY E�IGINEERS <br />EVERETT, WASH. <br />The Undersigned <br />Hereby applies for permission <br />Q�LL� t��--� �' w s � 1, nL+ h/ w'� <br />At the follow ng locatio� c� C� t'� ,(� r1�'�,�'1! � ��� <br />SKETCH <br />IWork to be donel <br />�—I �l �-1 <br />No s�n�'- <br />r � �, �t �" <br />everett <br />� � <br />Approved By <br />.���1r�s -.2�, i97i <br />Date Approved <br />. �` �_. �.11: <br />9 ( <br />_ _.� � � . J-�'i�'<!� �..1\V' ni <br />. _ ..___-..-�yJll_i'=�.i��..i�-rX�tibM^ CC��GVG�^e. ._ <br />\ j <br />1 , �____ _ ____ <br />_�o ; _�---- <br />�w <br />'hc undersi�ned owner hereby agrcrs to hold and :ave harmless Ihe Cily of <br />Cveren from any and all claims for damages that may arise because of the <br />inslallation and maintenancc of the improvement herclo applied for and <br />further oc�rees lo remove same upon notice from �he City and lo replace all <br />public properly dnmaged Ihereby. <br />\ EwhY. . . SL'CTION <br />(tio. sCwtE) <br />I M <br />t,�- �u <br />i T:t��-�_.. _. �.._..�.._ y <br />i;� __..-'- - ;, <br />, , , ., _�. <br />, �- �-�- _.;: _ � --- --- <br />•: �� <br />,T� �. '. �_� <br />i <br />1 f � : _. . _ _ . _ --'--- <br />__ <br />Variance Required <br />Yes._.....___. _. __.. <br />No_.._.___. . ....__.. <br />S� r _.�' <br />� d,/.s��t !'� r r. �! ��.' i � <br />� .. �f' r/' .�'�t� C�' � : _� . s � <br />-� $ignalure ol Applicanl " ,r <br />� � Address <br />�%. . , :r'`). ��- . . <br />