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�Permif No. ____^-,,----:i. <br />CITY ENGINEERS <br />EVERETT, WASH. <br />1'he <br />Hereby applies for permis�ion <br />Al the following location <br />SKETCH <br />(Work to be donel <br />APPLICATION FOR DRIVEWAY PERMlT <br />' � : �- tiL-.; .L.t <br />� <br />o ��' — � — <br />/., <br />. . - , ''� " /� ^ <br />. <br />s �� <br />s �E rc�� <br />The undcrsigned ownen c�reby agrees b ho�d and savc hormless Ihe City of <br />EvcrMt irom any ond all daims ior damages Ihal may arise because of Ihe <br />installalion and maintenancc o( Ihe impravement herelo applird for ond <br />furthcr ogrces to remove somc upon notice irom Ihe City and to repl�cc oll <br />public p�operty domnged themby. <br />'�<<<r��d • �'�'`��� <br />. 'i' ,'�t� � � <br />1,�— <br />InspedOr's $ignolure <br />f�otc <br />R� <br />everett <br />,. <br />l> � ' ! �_'. ,.�.� <br />Apj� oved Ry <br />'1. � � - <br />�te P.pproved <br />Variance Required <br />Yes <br />No <br />.�,,x�.e.�. �',o�x.� <br />$ignolure o/ Appliconf <br />_ / o.vfl ST <br />add.e„ <br />,4L�— S�y'/Y <br />Telephone Number <br />/I� 9 �'�,S <br />Dafe <br />$ <br />Fce <br />DEPT. AP?ROVAlS <br />Fnai �eers _.i__ <br />V✓otrr_ <br />.,�rev� __—.��_ � L o—�—_ <br />