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./..: . / 77T <br />Pern-,: No. ^ ............... <br />APPLICATION FOR DRIVEWAY PERMIT <br />everett <br />Le <br />CITY ENGINEERS2- <br />EVERETT, WASH. �-Approved By <br />The UndersignedyyEA RTj4o t--ODale Approved <br />Hereby applies for permission to CONSTYz : A u A-n 0 i1 04 G400c-<'E"TC— J t PEWik k- <br />At the following location <br />SKETCH <br />(Work to be done,) <br />NO SrJ��c <br />PRoPG <br />51DEWA <br />DoGw000 O� <br />The undersigned owner her-,y agrees to hold and save harmless the City of <br />Everett from any and all claims for damages that may arise because of the <br />installation and maintenance of the improvement hereto applied for and <br />further agrees to remove same upon notice from the City and to replace all <br />public property damaged thereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />.A <br />Inspector's Signalfure T C%Ju <br />Date <br />C2t`c rL, <br />Variance Required <br />Yes.._ _. _... _. <br />No <br />Signature of Applicant <br />Address J <br />. 3 , 3 <br />Telephone Number <br />Date <br />$ O <br />Fee <br />c3_ z^'7a <br />DEPT. (APPROVALS <br />Engineers 1 ("'/ / Z�t--� 7-7-3 <br />Water / <br />