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Pennit No. .:-�'� .::'>::.... .... everett <br /> :; �� <br /> APPLICATION FOR DRIVEWAY PERMtT <br /> _. , <br /> ;� � <br /> C N . , <br /> QTY ENGINEERS � �` "�`/�� � <br /> -' ' � Apnroved By <br /> EVERETT, VdASH. r` <br /> � <br /> r�ANUARS�� .2,z �y?'� <br /> Date Approved <br /> The Undersigned= � ` � ` ' `� "''� �' ' <br /> , , .� i- r= , � � 'i. <br /> Hereby applies for permissiun to �"- � ` " <br /> ��p"� , ,./_.r - <br /> At the following location ''� J � '' <br /> SKETCH <br /> IWork to be donel /_, /•;: ,<'�_ ,: <br /> „ <br /> � <br /> � r;:'... L _. .. . _. _. <br /> -- -I ---- i . .. _---� <br /> ----- ��-- . . .. --'�---- . . _. <br /> J-- <br /> I I <br /> � � <br /> ! I�y� <br /> ,i.- T° u- I <br /> I I <br /> � i <br /> Thc undersigned owncr hereby agrees to hold ond savc harmlcss thc Gly o( <br /> Varionce Requiicd <br /> Yes .. ......... <br /> Everelt from any and all claims for damages that may arise because of the No ._ _ . ... <br /> _ <br /> insiallalion and mainlenance of Ihe improvement hcr_lo anplicd cr an <br /> {urther agrees lo remove same upon notice from ihe Gty and to replacc all <br /> public properly damaged Ihereby. <br /> � � <br /> .,y, � � �. ._.,;,�, /�,r <br /> $ignefurc of Applicanf 0 <br /> � — <br /> Address <br /> . — . �.rrrir�rL��l����� <br />