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Permit Ne. ............................... t <br />CITY ENGINEERS <br />EVERETT, WASH. <br />The <br />R <br />APPLICATION FOR DRIVEWAY PERMIT <br />r�l <br />I!! <br />Hereby cpplies for permission to— <, k—j / i< P—� � • <br />At the following location <br />SKETCH <br />IWprh to be done) <br />l <br />^ / Vz' <br />AFU C- ,4c`E" 2 A VF/VUE- <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 demaged thereby. <br />everett <br />Le� <br />�App ved By ` <br />" A4, lt,(A <br />Date Approved <br />Variance Required <br />Yes__._...__............. <br />No.__.__.__.___.__. <br />02 Signature of Applicant <br />r.4 <br />raw �- a/7o <br />Insp o Signature <br />Date ' <br />Remarks <br />Telephone Number <br />Date <br />Fee <br />f\n��_,�D}EPT. APPROVALS <br />Engineers ��� \�� <br />Water��-- — <br />Strcet <br />