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<br /> Permit No. - . '. :".':-.---------.. eVePE'�
<br /> - :, APPLICATION FOR DRIVEWAY PERMIT
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<br /> CITY ENGINEERS o `y ��6�r j:%/
<br /> EVERETT, WASH. ��y Approved By
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<br /> The Undersigned f `� � �=- ' '/ Da1e Approved
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<br /> Hereby applies for permission to ��" " � � �' ' � � � �� � �' !�/ , �'-
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<br /> At fhe following location �-`'�'�- �`� � �T
<br /> Lc- /O �LaC�' <�� -• '� �, *� ' =/� i' 1C f�DIJ —
<br /> SKETCH � I � i �� l
<br /> IWork to be dcnel
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<br /> Thc undcrsigned owner hereby agrees lo hold and sovc harmless the Ci1y of Variance Required
<br /> Everell from any and all claims for damuges that may arise because of ihe Ycs........_...._............
<br /> installalion and mainlenance of Ihe improvemenr herelo applied for and No__. _._.................
<br /> further agrees ro remove same upon nofice from the City and lo repluce a!1
<br /> public property damaged thereby. ��G��l�� � ���'�� 7/
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<br /> Signafure�o( Applimnf
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<br /> 7�lephonc Number
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<br /> Dale
<br /> fnspedor's Signalure � I`I � � �E
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<br /> Dafe
<br /> � ''/Y/ , / DEPT. APPROVALS /
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<br /> Remarks Enginc s ��'
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<br /> Wafer ,�.�-�- � '
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