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� Permit No.. .. �_�........L....�-- � <br />APPLICATION FOR DRIVE�;�AY PERMIT <br />everett <br />CITY ENGINEERS • <br />ct— <br />EVERETT, WASH. proved By <br />Oc�o6�.r 23, l4[c9 <br />��C .'�.. ` :'_f� � ' �` �� , Datc ApFroved <br />The Undersigned <� � � ��- <br />i <br />Hereby applies for permission to ��% ���� �� �`'� �'�i U� _ <br />Af ihe following locaiion <br />SKETCH <br />(Work fo be donel <br />. ,:r�LC <br />The undersigned owner hereby agrees to hald and save harmless Ihe Cily of <br />Everett from any and all clnims for damages ihat may arise because o( Ihe <br />installation and maintenance o( the impravemenl herelo applied for ond <br />further agrees to remove same upon notice from the Ci�y and to replace all <br />public property damoged Ihereby. <br />6y � . <br />y(�2{-��h-� '��t---�'�fu� <br />Inspecto �'s�gnolure � <br />/e � 2 6`7— — <br />Daie <br />Remarks <br />Variance Required <br />Ycs <br />No <br />Signvlure o( Applimnf <br />Address <br />Telephone Number <br />Dafc <br />$ <br />Fee <br />DEPT. APPROVAlS <br />Enginccr _ <br />Waler <br />S`rccl -- <br />