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Permit No. /-2.^•.••.•••• to <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETT WASH <br />everett <br />�e�t <br />t 4 — <br />Approved By <br />r /0-.3Z- 73 <br />F2fi.N K F ,6. � Date Approved <br />The Undersigned — <br />Hereby applies for permission <br />2003 — .3 s-r <br />At the following location J.3 so. <br />SKETCH <br />(Work to be done) <br />No <br />ScALr IAIALL <br />WATSP- SE:RVIGR <br />The undersigned owner hereby agrees to hold and save harmless the City of <br />Everett from any and all claims for damrsges that may arise because of the <br />installation and maintenance of the improvemeit hereto applied for and <br />further agrees to remove some upon notice from the City and to replace all <br />public property damaged thereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />-- <br />I" LIP <br />_L30" <br />r\r 1M 11 <br />a /TG <br />Date <br />gXI STING <br />GHrZAG1- <br />4ou3 <br />20 <br />W <br />Ezx. vnwei- DRAIV <br />_fo6F. e!" PA1, <br />�J.JR? `J' 1 rJ. E7. <br />Variance Required <br />Yes <br />No <br />E t( <br />Signature of Applicant <br />Address <br />Telephone Number <br />Date <br />r J3 - <br />KEG'17 Fee <br />to-z�-y t <br />DEPT, APPROVALS <br />Remarks <br />Engineers <br />Water � n <br />Street <br />Commvnirotions �..ar—•r.—r--- <br />