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/ — <br /> � �� � <br /> Fe�„�� r,o. -� __ .............. - everett <br /> APPLICATION FOR DRIVE'J�/AY PERMIT <br /> CITY ENGINEERS �_'1�����.l�zrf' — <br /> EVERETT, WASH. _- � Approved By <br /> /�i��c:F:��f-,� � /4�/ <br /> The Undersigned �'� � � r b�%= r' _ Date 4pproved _ <br /> Hereby applies for permission to ��h'S 1, q 14�� DI� _ _ <br /> At the following location � �i � � 2 � V F i� '�1 I f= W C��- � � _ — <br /> SKETCH <br /> IWork to be donc,l <br /> ,�_ <br /> ,� <br /> ____ __�B <br /> RIVERv�Ey� ��' `�o' <br /> _=— <br /> -- •: — <br /> --- �c <br /> .z <br /> 29/0 � <br /> � �//\ <br /> I O q' �� ` <br /> ,��' � <br /> 102 ��'' � <br /> The undersigned awner hereby agrces to hold ond save harmless the City of Variance Required <br /> Evcrelt from any and oll daims for damages that may arise because of the Yes ._..__..__._..__... <br /> in:fallaiicn and mointenan�c c( Ihe improvemeM hereto applied for and Na _ ... <br /> .___.._._... <br /> {urther agrees to renove same upoi� notice fram the Cily and lo replacr all <br /> poblic properly damnged Ihcreby. <br /> . _�� _, , �� ,�'.-.it�_ <br /> Signalure o!'Applicanl <br /> . .' <br /> . � � �_a:� �-� ' <br /> Addreis <br /> .;o.��� <br /> S" ; <br /> 4� � 7 .`� " v t " <br /> 3�7 , ' ielephone Number <br /> Dafe � <br /> pr.r. � ,.� �. <br /> Inspeclor's $ignalure 5 (i �- fiTPf=.�TC< " � <br /> Fee <br /> �serk GH�!Z �� �7i <br /> Dale <br /> DE � APPRO MLS <br /> Remc�ks Engineed , -" � �/ � // /� <br /> Wafer — <br /> Slreet <br /> -- -- - '- -- G:mmi.•nrahnns-- ._ - <br />