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Permit No.7✓...._'..._�... � everett <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS ' "� •y- <br />EVERETT, WASH. Approved By <br />11- /- 73 <br />The Undersigned I ST�I2. tpt—= Zb�--7-Pale Approved <br />Hereby applies for permission to �- N ST k A ? , f I �� {_jQ 1 V Ej \:'v %i <br />f2.h <br />At the following location C I -' <br />SKETCH <br />(Work to be done) <br />V10 <br />SCALU <br />lEXISTING <br />CONGR. <br />5LA.M- <br />STREET ph <br />The undersigned owner hereby agrees to hold and save harmless the City of <br />Everett from any and all claims for do,.,oges 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 property damaged thereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />�s r <br />I" LIP <br />30" 30.. <br />-�\ . �.- - b ?(�. <br />Inspector's Signature <br />./`/T� C96"ED /O73 <br />Date <br />EDGE OF PAY <br />73 �o ST. S. E_ . <br />Variance Required <br />Yes <br />No <br />Signature of Applicant <br />Address <br />3.53 - 46--9 3 -- <br />Telephone Number <br />/G zS--,73 <br />-' Date <br />Fee <br />��i O ri4�CG.• <br />�p-z5-73 <br />Remarks <br />Water <br />Street. <br />