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<br /> PermitNo. _�%- ..-.-...___ .` EVEI'e�
<br /> APPLICATION FOR DRIVEWAY PERMIT
<br /> CITY ENGINEERS �, ',-:--I,� -� : ��, � -��� ''•� -
<br /> EVERETT, WASh�. Appr'oved By
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<br /> ���/�'- � . _ �, , � /.t , Dalc Approvnd
<br /> The Undersigned �`-�' � �" '� ' -
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<br /> Hereby applies for permissicn to �,
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<br /> Thc undcrsigned owncn c�reby ogrces lo hold and savc harmless Ihe City of Varionce Required
<br /> Evcretl from any and oll doims for damages Ihal may orisc becauze of thc Yes _ _ . .._. . ._.
<br /> instollotion and maintenoncc of Ihe improvemenf hcrelo applied (or and No - � -
<br /> lurih^r agrcet '�� remove samc upon notire !rom thc Cily and lo replace oll ,
<br /> public properly damaged Ihereby. • r�r.•T�
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<br /> Signafurc of Abplicanl
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<br /> � Pl�l���l�„ I (`;I; Address'
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<br /> Telephone Number
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<br /> Dale �
<br /> DEPT. APPROVAlS
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<br /> FemarAs Enginecrs i_'_F" '^ �„i�- .
<br /> Walcr'��iA73"��- {� '—
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