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Permit No. _�-�—..-�C"� everett <br /> APPLICATION FOR Q�2IVEWAY PERMIT <br /> CITY ENGINEERS .��'�'����'"�� <br /> EVERETT, WASH. Approved ey <br /> ��/�„� � / -, /97/ <br /> Date Approved <br /> The Undersigned L /a tt1 E N G fi R D M O <br /> Hereby applies for permission to �' � N 5 r A Z Z " C`n N C 2 F T F ���) <br /> At the foilowing lomtion � R�z— �� V F f2 V/f �tf 4L UO <br /> SKETCH <br /> lWork to be donel <br /> RIVERVIEW BLVD . <br /> -- �.. :,. - _ -_--_- -f <br /> 2 L' <br /> Z¢0 L I <br /> . <br /> �ti ��. <br /> I��`qo <br /> 97 a8 __`�� � -- <br /> The undenigned owner hereby agrces to hold and sove harmlesz the City of Variante Required <br /> Everett from any and all cloims for damoges that may ariie bacouse o( the Yes. ._____.._...._..... <br /> insmllation and moiMenance of the improvement hereto applied for and No__. . .__ __ . ... <br /> further agrees to remove same upon notice {rom the Cily and to replace all <br /> public property damaged Ihereby. <br /> r' 7Z � <br /> � Si�nalur_ ol Applicant <br /> �'. J�.� _ ��: _ <br /> i 1., <br /> Address I <br /> -e ,_. - � ; . , _ <br /> .iC, ��':,S ' ' % � .. ,!( C _ <br /> ielephone Number <br /> _ �'. <br /> Dafe <br /> I rj• <br /> Inspedor's $ignalure b /.�� ;{` . <br /> Fee <br /> �"ir�� � ;�%r�c c;� �'/�,,��. <br /> Dale <br /> DEPT. APPROVALS <br /> — Engineers ' --�����"--�`�''� .//� <br /> f.emarks i �•l, T /�' /� , �/ <br /> Wulcr� .�.. <br /> $ircel_ <br />