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. -1 _ / 1 <br />Permit No.� .7.:1..�.V <br />APPLICATION <br />CITY ENGINEERS <br />EVERETT. WASH. <br />FOR DRIVEWAY PERMIT <br />everett <br />�.e� <br />SIIY40lB kgcoq <br />The Undersigned �� I E h/sr- Il L Uwo� 1 Dcte Approved <br />Hereby applies for permission <br />At the following <br />SKETCH <br />(Work to be done) <br />GRAYEL. DR/V�, <br />7¢ TN STREE 7- <br />NOTE <br />(11A.—I, WITV <br />R <br />WATEP. <br />LATER LINE <br />E)(GAVATIUN <br />5BEFORE <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 farm the City and to replace all <br />public property damaged thereby. <br />Inspector's Sigmdure <br />Date <br />Variance Required <br />Yes ....__... <br />No...... <br />Signature'! of Applicant <br />adore <br />Telephone Number <br />Date <br />S <br />Fee <br />Remarks <br />DEPT. APPROVALS <br />Engine�f�� <br />Water{_—. <br />Street — <br />