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_; ._. <br />Permif No. . � _.--, -- •'`. _ <br />. - __ <br />?.PPLICATiOh! FOR DRI�,'tW��Y PERMI7 <br />CITY ENGINEERS <br />EVERETT, WASH. <br />e�J�E'�� <br />�. <br />;. � , j <br />�.�%�� � - <br />' Approved By <br />�E.f3R[JAP, j�T �� 7 <br />The Undersigned �'-= � '� � � � ��_--- � �� -' �f'''� � �' Do�e Approved <br />� . <br />Hereby app�ies for permission to— - " ' "- � ' � ' ` "` r'-1 : `%'1—` �, <br />�'�:,,� �r'� �:� Pa+t" -'i J�__ - <br />At the following locatior,_ i� 4 ��J _�J T�{ �\ i"�' <br />SKETC'; j <br />I\'Y�;k tu be done) <br />r� -i,-. '_,,_�_ <br />EX/S! i�l�� <br />WATER S/�UT OFF_ <br />Thc undersigned owner he�eby agrees to hold and save hormless Ihc City �f <br />Evcrcu (rom ony and all daims for domages Ihat may arise becauze of Ihc <br />�;r,tallation and mainfenonce of the improvemeN herelo applied for ond <br />further agrees fo remove same upon notice {:om the City and lo replace all <br />public properiy .:amaged thereby. <br />, <br />DRIVEWAY SECTION <br />NO SCALE _ ' <br />( � / i � ___ <br />Inspedor's SignafurE <br />x�sT�tiG <br />P 2� v � uJh.�{ <br />Voriancc Requir�d <br />Yes <br />No <br />� Signofurc o/ Applicanl <br />� — add. �ss <br />/��� � Telephone Numbcr <br />��� <br />� <br />Dnlc <br />g <br />