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Permit No. ��<'�.~. �o <br /> . - everett <br /> APPLIC'ATION FOR DRIVEWAl' PERIv11T <br /> CITY ENGINEERS _1� � �,j <br /> EVERETT, WASH. Approved By <br /> , ��y � <br /> r i � " /7 /,CL <br /> TheUnden��ncd A2G/J �, �.I�(zSTA) _ DaieApp� ived <br /> Hereby appliec far permission fo_� n�l�T, /-� ZO � ��[/� <br /> Af the following lomfion �y0 7- l9)AVE D�• — <br /> SKETCH <br /> (Work to be done! / <br /> � <br /> / <br /> � / <br /> � � <br /> , i --_ _---_� / <br /> � <br /> 1�`- � ; j'�°� <br /> % 8 ` -- 4 <br /> ; <br /> , , <br /> ------- ----. � _� -----_ _ <br /> W AV � pR, <br /> ,,; <br /> � <br /> i <br /> The undersigned owner hereby agrees to hold and save ha�mless Ihe City of Variance Required <br /> EvereR from ony ond all daims for damages thal may arise 6ecause of �he Ycs . . .. . ...... <br /> imtallotion and meintenance of the improvement hereto applied for and No. . . ..._ . . <br /> further agrees lo remove same upon notice (rom Ihe City and lo replace nll <br /> public �roperty damaged Ihcreby. <br /> Signoture o( Applimnf <br /> Address <br /> 2� <br /> �, ��; -i�� .; <br /> � <br /> n�)�� �� ielephone Number <br /> 1.�� �',j � ; I <br /> �/(�/�;/-7,I Dalc <br /> !'_ "'L — � <br /> Inspecloi s $ignolure $ ��C� ��w�-�� / - ! <br /> Fee <br /> s� :� ;�F-� '✓G�� � -'L �- � ' <br /> Dale <br /> DEPT. APPROVAIS <br /> Remarks Engincers_ / -,��. �_���S�ir'!i�-- <br /> - r <br /> wa��� _ ,,, _ <br /> sr,���_---"-----__...___._____�_.— <br /> _— — _,__ <br />