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<br />�'� Permit No. _ --.. .- e'VE'Pe�
<br /> APPLICATION FOR DRIVEW'r�Y PERMIT "
<br /> CITY ENGINEERS ���r.��-'L�,,c�� I � �.,�� -.
<br /> EVERETT, WASH. A roved ey
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<br /> � r���,her� 1`��,`t
<br /> �/� � - ���,.� • • ,� Da�e Approved
<br /> The Undersigned� ��4-� �� i - "� �fa "�
<br /> Hereby applies for permission to ���t'��`''` ' � '� ''� `' � `� �`�
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<br /> At the follo�ving location � � '��~-'�� �� � '� Su.�
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<br /> SKETCH
<br /> IWork to be donel � L�L. �� 'S T�C= �'T �Ca � :1= , , . ._ ,, .. , ' %, -_.
<br /> NE�d ypQA/N �
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<br /> NEw G.�. � �
<br /> - `.�.:;�`."� r"" .a;`�,�,� ;.UR'P �' Cy'•`_.-� 1�
<br /> G S OE,Q, E `✓�ME77 ��T✓ l �
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<br /> The undersigned owner hereby agrees fo hold and save hormless the City of Variance Required
<br /> Eoerett from any end all claims ior damages that may arise because o( Ihe _}`; Yes.. _. ..._._._._..._..
<br /> installation and maintenance of ihe improvemenl hcrelo applied for and r� No
<br /> ._._._.....__._.......
<br /> further agrees fo remove same upon notice from Ihc Ci1y and to repla�c alI ^,�
<br /> public properry damaged thereby. �, •
<br /> .. -- �.aLE � .
<br /> � . . . . ._ - i .
<br /> � ' � "$ignalure �of�Applicanl
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<br /> Address ,
<br /> ,/ :.__------ , . .
<br /> .. .�� . � .7 .1' - ' �
<br /> � ielephone Number
<br /> Dale
<br /> /-�,_,;G� ,y_,' , � �
<br /> Inspecicr's Signafure $ —
<br /> Fee
<br /> Dafc
<br /> DEPT. APPROVALS
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<br /> Remarks Engineerz I� �—
<br /> Wa1er__���r� ' �
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