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Permit No ...... <br />r q-, <br />�vt} APPLICATION FOR DRIVEWAY PERMIT <br />r � <br />CITY ENGINEERS ) L <br />EVERETT, WASH. <br />The Undersigned <br />Hereby applies for permission to <br />At the following location" <br />SKETCH <br />(Work to be done) <br />I ", Zoo / <br />4 <br />ELL o//- Co. <br />-ASP r-OA/G. 0,eltlas, <br />h <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 />.3/jc7�' <br />.31,12yTC <br />Variance Required <br />Yes............ <br />No........... <br />ow. Wz <br />Signature of <br />¢ec? /off" <br />Add, <br />4 5 S St- <br />Telephone <br />2 <br />r <br />Inspector's Signature` <br />S <br />