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1 <br />Permit No. .... L :.....__ y, <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETT, WASH. <br />The Undersigned <br />Hereby applies for permission to eQ--Z s 4wJ <br />At the following <br />SKETCH <br />(Work to be <br />/' 2 ✓ r( <br />E3 STREE 7— <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 properly damaged thereby. <br />nlpKtOl! nalUfe <br />gl�'- 7, 9 <br />Date <br />Remarks <br />r <br />evere?t <br />,.e <br />proved By <br />R�Usi" 2.8. \131,9 <br />-Date Approved <br />I IFri! WITH WATER <br />INE <br />t,—C EYCAVAT101; <br />S Ga L� <br />t' a-o <br />39 <br />ASP. CONC, <br />Variance Required <br />Yes <br />No .... <br />S <br />Signature of Applicunt <br />Address <br />77 J% <br />Telephone Number <br />Date <br />Fee <br />DEPT. APPROVALS ''�11 <br />yy Engineer��` k A V- �nkL.11 <br />Street <br />