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<br /> Permit No. . - ; --/ % '�
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<br />� APPLICATION FOR QRIVEWAY PERMIT
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<br />, CITY ENGINEERS � v � •,
<br />' EVERETT, WASH. �' , roved By
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<br /> The Undersigned - Date Approved
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<br /> Hereby applies for permission to � ��i"- � ' "�} _ � � - ''-,, � — —
<br /> At the following location ' =J "— c�. / ST ��
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<br /> SKET�H
<br /> IWork to be donel
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<br /> PROVIDE FOR I
<br />�r M� v��QL�`C-' . `� FI;QP[R DRAIiJAGE �
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<br /> The undersigned own.r hereby agrees to hold and save harmless Ihe Cily of Var:ancc Required
<br /> Everett from any and all claimz for damages that ma/ arise beca�ise of the Y.,s._ .._._.
<br /> installation and maintenance of the improvemenl hereto opplied for and n
<br /> lurther agrees �o remove same upon nolice from ihe Ciry and ro replace all No . . . . . ..
<br /> public properry damaged thereby. �j
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<br /> `"� fnspecfor' ignalme� ' $
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<br /> DEPT. APPROVALS
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<br /> Remarks Enginecrs �� ' � �-�-`'1- �-
<br />� Water " ';�;,�'
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