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� <br />Permif No. _ ��_/..:.t..._-. <br />CITY ENGINEERS <br />EVERETf, WASH. <br />The Undersigned <br />Hereby applies for permission <br />At the following location— <br />SKETCH <br />IWork to be donel , <br />� 90 / . �_.`_,_�--'�*-,� <br />APPLICATION FOR DRIVEWAY PERMIT <br />: � / <br />/ <br />i' . 'r� / : � <br />, .1, <br />— -- I ' <br />�> <br />i��= 40 <br />� / <br />� <br />/'� i�'caapocc.I <br />� Asp{�alr <br />i' I Dh� <br />—#� •� �c. ce.t. <br />_ �o ---_.__._ . .rN – - <br />.��� •.�,��T <br />The undersigned owner hereby ogrecs to hold and save harmless thc Gity of <br />Everett from any and all claims for damages thal may arise becouse of ihe <br />inslallalion and maintenancc of ihe improvement herelo applied for and <br />further agrees to remove same upan nolice from the City and lo replace all <br />public properly damaged thcreby. <br />;�t� �,' ,._iG�'� ",ti <br />I / �� <br />' �..,'j � � � �:. � <br />� LL/ <br />Inspecloi s Signafure <br />Dafe <br />everett <br />Approved By <br />Date App�oved <br />• � ;�. '. <br />. -• _ . <br />� J <br />i <br />1 ��-. <br />Voriance Required <br />Yes .. _. . _ ._ _.... <br />No `_'-:"-.. . <br />I � �i, <br />i <br />r <br />� / i�fr z ��� � "� � <br />$ignalura ol Appliconl <br />J � / <br />_=�� �-..`��l �r��;i»•. <br />Address <br />� - � h � `/ <br />iclephone Number <br />� l i/ _�. <br />�atC <br />$ If.' � iC ('Cp � <br />Fee <br />DEPT. APPROVALS <br />Enginecr _ <br />Waler <br />Strect� �� �.L.d��q. t ��� • <br />, <br />('nmmunirnlions_._._ . — <br />