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1 <br />l`I , <br />Permit No. <br />APPLICATION <br />CITY ENGINFERS <br />EVERETT, WASH. <br />The Undersigned r <br />Hereby cpplies for permission <br />A <br />FOR DRIVEWAY PERMIT <br />SKETCH <br />Work to be done) <br />The undersigned owner hereby 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 some upon notice from the City and to replace all <br />public property damaged thereby. <br />Inspector' Signature <br />� � �/� <br />Date <br />4v&. <br />everett <br />�e <br />ApP ved By <br />Niau I'l �;-1('-�Ci <br />Date Approved <br />" NOTE <br />"r" WITH WATER <br />@1kPF F-0R WATER LINE <br />4� M 10NS BEF00C EIlCAVAriot4 <br />Variance Required <br />Yes - <br />No — <br />V S/2 0 <br />Address <br />Telephone Number <br />Date <br />Fee <br />DEPT. APPROVALS <br />VV / 1 �t 1,CT�Cr..t 1 �.� <br />Engineers — <br />water� <br />Street <br />„ —� <br />