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Permit No... ... �.—....'-�....... everett <br />-zj APPLICATION FOR DRIVEWAY PEk of <br />u <br />u r <br />J <br />4 use <br />CITY ENGINEERS <br />D -- <br />EVERETT, WASH. V Approved By <br />h:9?e1�� A�77" <br />The Undersigned 11 L 0 NI L E _ ____ Date Approved <br />Hereby applies for permission to n 7 e t sA 1 0 ' LL2 <br />At the following location / n ZI si rLl-Ar— <br />SKETCH <br />The undersigned owner hereby agrees to hold and save harmless the City of <br />Everett from any and all claims foi damogss that may arise because of the <br />,nstallation 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 />ORIVHN.,I,Y Sea YfON .DRIV <br />(MID SCALD) <br />Signature <br />Dale <br />w <br />361,1 <br />_ SECTION_. <br />Pit. <br />Variance Required <br />Yes _. _.... _... <br />No <br />Signature of Applicant <br />jz✓c�� Jtf. XS` 112, <br />Address <br />.zz rzFS <br />Telephone Number <br />—�--� Dale -- <br />r, <br />Fee <br />DEPT. APPROVALS <br />Engineer l •'�,'/ /71' <br />r Water <br />Street - - - - ,�— <br />