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� �l � � . - /� <br />Permit No. .. .. - ) `. . :......... �... Y <br />APPLICATION FOR <br />CITY ENGINEERS <br />EVERETT, WASH. <br />The <br />DRIVEWAY PERW�iIT <br />,( � <br />Hereby applies for permission to ��2=�/ �U � `^%'-� - ' ' , "''- <br />At the following locatian ��� z S YC -aMD.eL� <br />�.�---^--'^•� —_:._.�,,.,..�..,..,..�.... <br />SKETCH <br />IWork io be donel <br />Thc undersic�ned owncr hereby agrees to hold and sove harmless Ihe Cily of <br />Everett from any and all claimz for damages Iha� may arise becouse of the <br />installotion and main�enance of the improvement herero applied ior and <br />further agrees �o remove same upon no�ice (rom the City and to reploce all <br />public property damaged thcreby. <br />C�'��i"/yw, . " 2�� `�/7G. <br />��� <br />i^ <br />`� <br />h7 � � ` <br />�� /��%>`,`L�'�J^""�-t+�.�c. <br />Inspectod�5ignalure <br />.-� "� ` % � � `% <br />/ <br />Dafe � <br />:� <br />i: ) <br />N1 <br />� <br />everett <br />v. � <br />Ap oved By <br />[)c�ob¢r 2.3, �q�A <br />Date Approved <br />Variance Required <br />Yes_._ .__ ___. ._._.. <br />No_.____...__ ..._._. <br />Signafure of Applicant <br />Address <br />�eleohone Number <br />Dafc <br />� <br />Fee <br />DEPT. APPROVAlS <br />Enginecrs V• .___ <br />Walcr _ <br />Slrecl. <br />