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__ /� <br />, <br />Permit Nu.� G �.7 .,'.i�. <br />APPLICATION FOR DRIVEWAY PERh!IT <br />CITY ENGINEERS <br />EVER[TT, WASH. <br />The Undersiuned T� N 1�°� ���°'-� _ <br />� ' <br />Hereby applies for permission to.�mNs f F u='� p � Z <br />everett <br />Approved By <br />Da�c Appiaved <br />Pt the following location B � K �� � u 4 R e� N L� �/.5 i-G' T -Z i� _ <br />SKETCH <br />IWork to be donel <br />—� <br />I�� ho' <br />Thc undersipned ovrner hereby agrees lo hold nnd swc hormless Ihe City o( <br />Everetl from any and all claims ior damages Ihat may arise because of the <br />insfallation and moinlenance of ihe improvemenl herelo applied hr and <br />furlher agrees lo remove same upon nolice (rom Ihr. City ond to rep,oce all <br />public proprrty damaged thereby. <br />/. J` <br />Insoedo('s� Signalure <br />;� / <br />.�;,.y <br />Dafe <br />V �: <br />.• 'e;. <br />aa' <br />S <br />Pi.a o p a s e d ��'�,�/ <br />�SPha�T <br />�rylva\Jb� (�� <br />V 1 <br />_� <br />Varioncc Required <br />Yes <br />No <br />�.. <br />. / • ^ '.. : ��'', �u .'. t �. <br />� $ignafure o( Applimnl <br />r� / ' �' .:)J':. <br />Address <br />> /. <br />7elephone Number <br />3•-i/--V y <br />Dafe <br />�/�,pO � /G48(s <br />Fce <br />DEPi. APPROVAL�.; <br />Engin^r.0 <br />Wcter— .�— — <br />_ Slrccl _ �rq� — <br />.. ... _.�cS.t_� _. .__ ._ ..— <br />