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Permit No.�^... <br />CITY ENGINEERS <br />EVERETT, WASH. <br />The Undersigned <br />Hereby applies for permission to <br />At the following <br />APPLICATION FOR DRIVEWAY PERMIT <br />,C OCKEFE LL F_ e <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 thereby. <br />a • z� �� jv <br />Inspector's Signature <br />Date <br />Remorks <br />everett <br />�e�� <br />Approved By <br />Jzwz /910 <br />Dale Approved <br />Variance Required <br />Yes ._ <br />No _. <br />496 <br />S iOEWd L/f ^^jJ P Signature of Applicant <br />r� <br />y <br />C`` - _ - % / -- -,?z <br />lyi,l '.'UT OFRISE Telephone Number <br />C- n/FC. '111 TD Er41s7-6RAD,E <br />Date <br />$ / Vo <br />roe <br />DEPT. <br />/APPROVALS p <br />Engineers <br />Water, (—Ty r b <br />Street Wz6eAA dd:� - — <br />