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Permit No. '- ............... <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />everett <br />�e <br />EVERETT, WASH. Approved By <br />The Undersigned Ke V l ti Cie A w t=o &y Date Approved <br />/ n <br />Hereby applies for permission to C-Oi{/ n -7-AU C —r q ✓ /-1)q/ti G 7^ &d-4 y <br />At the following location / E. O 7 14 "t "5r 'S - <br />-pjCAIv <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 same upon notice from the City and to replace all <br />public property damaged thereby. <br />DRIVEWAY SECTION <br />NO SCAL5 <br />— 2 5' -- <br />��'I" LIPLIP <br />1�30r � _ I_ 30rr <br />C�Olplee /c_fo-73 <br />Inspacla's Signature k�zu /-1 <br />-5i E cNECwFf-s> 9-;5-7,3 <br />Date <br />Variance Required <br />Yes <br />No <br />Signature of Appl M 17 , <br />�� � y1 <br />Address <br />Telephone Number <br />Dale <br />(Le•cell✓t 29/45 <br />�rss <br />Remarks <br />`� afar <br />/17 <br />