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Pcrmit No. .� - �'_..�._� _..... <br />APPLI,�ATION FOR DRIVEWAY PERMII' <br />everett <br />i <br />CITY ENGINEERS _.:�%���� <br />EVERETT, WASH. ' � Approved ey <br />'`�i'- —,P f'�%li �/ <br />f�3. . �/�i- <br />The Undersigned ���� � i�F�h' � M���'�'• i Date Approved _ <br />Hereby applies for permission to � <br />;h/',-T, A I fi� D�11� <br />1'� ✓ <br />At the following localion 7� Nz �'y' � �� . S <br />�'1 <br />The undersigned owncn c�reb/ agrees ie hold and save harml<<s the Cily of <br />Everett from any and all daims for damages that may arise because of the <br />installation anc! maintenance of Ihe improvemenl herelo npplied ior and <br />(urihcr ogrees to removc same r.pon nolicc from thc City cnd �n replocc oll <br />poblic p•operly damaged ihereFy. <br />�, <br />„ <br />r � , _ <br />�),� , <br />� <br />Inspector's $ignafure <br />�l / , -7 <br />�!�(l�/ 'l/ <br />L''- � � <br />' �"7 �' -�'l �{c� <br />�' � � i <br />, <br />�" <br />)' 'f <br />Varience Required <br />Yes ._. ...... .... _ . .. <br />IJo <br />Signature of Applimnt <br />`3�:l�vc �):�; � . <br />Adorest <br />s � �'` <br />i <br />Telephone Nmuber <br />Dale <br />� r, � <br />$ .�y';>,e- - <br />; <br />i <br />4 <br />! I'-t.:: <br />