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o� -�nfr r.i,. . _ ..--.:..._..... .... <br /> everett <br /> APPLICATION FOR DRIVEWAY PCRMIT <br /> CITY ENGINEERS � � (�//`!f/,,� <br /> . . , Il' W'�/f/( . / <br /> EVERETT, WASH � Approved ey <br /> _i�rc:�-ti�.�-r� /,�/9?C% I <br /> The Undersigned � � Daie App�oved <br /> Hereby applies for permissian to ( �-T l� = '� "' ' T�- °"" <br /> ., <br /> At ihe following location � � ' ' �' ��' =�f� <br /> SKETCH <br /> IWork to bc oonel f'1= [�01_)(',—,Q.L_L. f;`;� <br /> _ - - -- <br /> -- _ ___ _ _. _ , i <br /> � � ---' __ <br /> i I <br /> i � I I <br /> I L <br /> —.— __ z <br /> I i 0 G� ap � n , <br /> �_s�_—�_._ �_1�-_7c._:. ,"T ; N � N � �, i .. ' <br /> i N 1�TE: CUT TRCF'S DOkN <br /> �",q� � I -- — �� <br /> i ` i <br /> � i —, _ � <br /> I � � i ' � � ' <br /> , � <br /> , 1 ; � i , � <br /> — � � i � _ --__\�Y). N.�, � <br /> n.�__ ,_.�, ---- _,__�..�______.. <br /> -_. <br /> __ _— � _ <br />( �� ' <br />� The undersigned o�vnen c�reby agrces to hold and savc harmless Ihe City of Varianee Required <br /> Everetl irom any and oll claims (or damages Ihat may arise because of �he Yes .. <br /> installa�ion and maintenoncc of the improvement herefo applied for and No . .. <br /> Surther agrees to remove same upon notice from �he Cily and �o rrplace all <br /> public p�operty damaged thereby. <br /> i, —` <br /> . . .- � _i , . .- . <br /> Sig,�alurc of Applicanf <br /> � <br /> Addrezs <br />�� ielephone Number <br /> �,�, .; „� -�- .-. <br /> � <br />, Dale <br />�� , S 1_�/�� f-�—'J.- -- <br /> Ir�•�or_cfor's Signatu�e <br />