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Pen;it No.. ...f... .... <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETT, WASH. <br />The Undersigned A Lvr N I4 oi-m <br />Hereby applies for permission to C 12/J57T J- ON Eyts T, D/a) <br />At the following location g(mL Z L UI r C- IrJ I A A VE <br />\/IR(71N111 AvE <br />,4LLEY <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 nolice from the City and to replace all <br />public property damaged thereby. <br />Inspector's ignalure �-t� <br />Date <br />E <br />. Approved By <br />Date Approved <br />Variance Required <br />Yes _ _..... <br />Signalure of Appflcant <br />Address" <br />._ 7 r . / ,) <br />Telephone Number <br />Date <br />Fee <br />-marks Engineers <br />Hater _ <br />khgs 1_211_ JIemll_o __ Street <br />Communi, <br />