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. �.. ,-- <br />� <br />Permit No. �.. _-. <br />CITY ENGINEERS <br />EVERETT, WASH. <br />Th <br />I/� <br />__..._. _ '. <br />APPLICATION FOR DRIVEV�'AY PERMIT <br />e.,,,.......,�.,.... - J�/� <br />Hereby applies for permission to Cd �`�T '`' c�n �� ��NG ���'� <br />At the following location � ��� "" � r� ,,L�'�' �" — <br />be donel <br />�� — --- <br />� <br />' • 50� <br />II <br />/11.,, �' <br />— _—� <br />The undcrsigned owncr hercby agrees lo hold and save harmless the City of <br />Evcrcll from any nnd ol1 doims for damages lhat muy arisc because of thc <br />in;tailalion and moinlenancc of ihe improvement hereb applicd for and <br />furlher ag�ecs to remove same upon nolice irom the Cily ond lo rr�Joce all <br />publie properly damaned ihcrcby. <br />�I:' r <br />h <br />� T. <br />� <br />, <br />everett <br />�, �>� ��� <br />A oved By <br />�. °�l,'i �Q�vQ <br />Dole Approved <br />;��_ , �., � :� : �. ,_, ,a.� �. �. <br />f �;; _ -� -_- FOR —`�--' <br />I'F.i.,, ;if� DRAINAGE <br />Varian<c Rcquiicd <br />Yes <br />No <br />@ <br />� �ir 5. 1 _ �_i . <br />$ignof �e ol Applimnf � <br />�l ? i -." �'� ?"" — <br />Addmss <br />