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� i <br />Permit No. . .� ' .:.....:...:y_.. <br />CITY [NGINEERS <br />EVERETT, WASH. <br />f, � / <br />The Undersigned_�,� 'y � — <br />H=reby applies for permission to_L� <br />AP the following Iccation �/ E� <br />•..:,:�:,� <br />APPLICATION FOR DRIVEWAY PERMIT <br />SKETCH <br />IWork to be donel /== �S...LS"'—"-----�__ <br />I ----`"- � � .�� i <br />I <br />I <br />�'�' <br />� <br />I <br />�. ._ <br />G/Jl. ,;:,', �'C 322. '� <br />� `��. <br />----- ---- ---�------___ _ <br />r� ��.. <br />.__ r . <br />I <br />•-i�C�r�%) ,_, ��� <br />The undersigned awncr hereby agrecs 'o hold and savc harmless Ihe Cily of <br />EvereO lrom any and all daims for dcmages Ihal may arise because of Ihe <br />insfallation and maiMenance �f ihe mprovemenl herclo opplied lor and <br />furlher agrees lo remove ;ame upon ralice Irom ihe City and to replace all <br />public property damaged ihere6y. <br />i !. <br />( <br />Inspedor's Signolure <br />9 <br />Dafe <br />Remarks <br />1} <br />� <br />everett <br />Approved By <br />Datc Approved <br />Veriance Required <br />Yes . _....... _..__. <br />No.._. . __ . _. _.... <br />;� <br />/ I � <br />,_ ., �C '�� f �. ♦ �1�-j t �_ <br />n^ $ignolure of Applimn <br />� S1� "� 5�,,,, (� ;��,,� �, <br />Address <br />� �•.� �. .�) � �. <br />ielephone Number <br />Dale <br />$ �, �'7 � � �% <br />Fee <br />DEPT. APPROVALS <br />Engineers/ �_„�F�-`��a, .• <br />Wafer�Vi --ar/661-e <br />Strcet � <br />('�,mmnnt��:nons _'--� -- -�.._ �-�. _ . _- -- <br />