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- � —� <br /> Permit No. :�_��.G...`z.�. everett <br /> � <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> CITY ENGINEER� <br /> EVERETT, WASH. Approved ey <br /> � '� � (..� Dale Approved <br /> The Undersigned �/`�/�'?Nt�- �N/^G'/�'� <br /> � <br /> Hereby applies for permission to_��iT/�LL � ��� f,'� ��'u��'� ;/ <br /> At the following bmtion � �- Thtin � 5 ��� <br /> SKETCH L p % .� \ <br /> IWork to be donel <br /> f3LK. /(o <br /> r �- ' �\ <br /> , � <br /> � � � <br /> ` <br /> � <br /> : ` � ' � <br /> � <br /> :' <br /> :% '� � <br /> i <br /> �: \ <br /> /'�� . <br /> ` � / `' Ty�'��`',Sv,v �.._...� <br /> ���✓�,1- '� � -�-�-___ ��v�_ . <br /> P -`� <br /> s�� � � �8 --�___ <br /> -� _ <br /> The undersigned ownen c�reby agrees to hold and save harmless the City o� Varianm Required <br /> Everett from any and all claims for domages thot may arise bemuse o( thc , Yes ._ . . . ___.._.... <br /> insfallation and maintenance o( Ihe improvemenl hereto applied for ond No . . .. ..._ .. <br /> (uriher agrees lo remove same upon notice irom the City and lo replace all � � <br /> public properly damoged ihereby. . T N L <br /> �l.<..TAIZIJIY� (-JN�a <br /> �� � <br /> �Signafure of Applimnl <br /> k..�'. c� �U�C s"�.,�tC� <br /> A�idress <br /> �3y — �O � 8 <br /> ielephone Number <br /> ��;�'ti � <br /> �I - G - `10 <br /> Dafe <br /> 5 p 00 <br /> Inspecfor's Signatu:c r7 �" <br /> Fee <br /> Dale <br /> DEPT. APPROVALS <br /> Remarks Engincers— <br /> Woter <br /> _ Strrel--.-- <br />