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Permit No...f .Z .-_.1.. R.. <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETT, WASH. <br />everett <br />,e <br />Approved By <br />Ar'TT7�zF.F' �h <br />Date Approved <br />The Undersigned At>-r�,,,t._ ��. /J8U I-r'O NA- - _ - <br />Pvr .JISi Pnl F_ f P-c ��2. AI IF✓,4e ,; PA re 141 hl l- T,?J,� <br />Hereby applies for permission to , <br />At the following location_ I ?2�—(— <br />SKETCH <br />(Work to be done) <br />1 <br />G Ia�LES <br />IS'LO - 3z"-" sr <br />Av C- <br />OI <br />2 REMOd,E EX/ST/NG LANDSGAP/Nr. <br />N i � F_xCF,oT TREWS <br />m <br />The unders;gned 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 i'he <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. _ i'" <br />7-7-73 <br />Inspector's Signature <br />5 i - C.y-7Z <br />Date <br />Variance Required <br />Yes.. _....................... <br />No..... _. .................... <br />Applicant <br />Telephone Number <br />{Lti <br />Date <br />$ do t <br />Fee <br />DEPT. APPROVALS, <br />n <br />Remarks Engineers" �' Z-� <br />n4�yfas<% /o-a <br />Water- <br />-Street <br />Communications7 _ --- <br />