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<br /> Permit No. �-�-�..
<br /> - --- � - everett
<br /> APPLICATION FOR DRIVEWAY PERMIT
<br /> CITY ENGINEERS '
<br /> EVERETT, WASH. A oved ey
<br /> ,. . , 42. Ma� tqlo4
<br /> The Undersigned� - �----�' f '+' � ' y" -'� -� Dar Approved
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<br /> Hereby applies for permission fo ,'r/'' � '? 'i'L.={ . .'%! ;� .�'. �A ,�S�;'(:. </!_� �''/ r:'.�'. /,/�,;I/Jr�
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<br /> At the f9Jlowing location � .� � ��`"� � �,� ,^�; - ',.'��;' � ' � `-�"°�•
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<br /> SKETCH
<br /> fWork to be donel
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<br /> The undersigned ownen c�reby agrees �o hold ond savc hormlezs Ihe Cily o( Voriance Required
<br /> EvcreH from any ond all daims !or damoges thal moy orisc because of Ihc Ycs .
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<br /> installafion ond maintenance of ihe impmvement herero applied for and No. _.._...
<br /> (urlher ogrees lo remove same upon notice irom Ihe Cily and to replace all �- ��� ��- �
<br /> public properfy damoged fhcreby.
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<br /> Telephone Number
<br /> NUTE: CHECK WITH V+ATER DEPARTMENT
<br /> FGR �NATER LINE LOChTIONS
<br /> ' ,--� " BEFURE EXCAVATIGNS Dore
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<br /> Inspedors'Signafure � 5
<br /> �� /�,S �C � Fee
<br /> Dale
<br /> DEP7. APPROVALS
<br /> Remarks �
<br /> Enginecrs
<br /> ' \Nater � " -
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