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, � � ,� <br />Permif No. � ` I, <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETT. WASH. <br />The Undersigned <br />Hereby applies for permission to � . �- � � == _ <br />everett <br />Approved By <br />Dalc Approved <br />r. '-� � - <br />A1 the following localion �/ �f 7-f l! f — �• /����: � f'o� �- :�, ` <br />SKETCH <br />(Work fo be donel <br />-- -- ��y— � � .. A,C. <br />--�� — _ � <br />. ,��' �.� .�--- - <br />I <br />A <br />G/�f <br />7S � rl , <br />TI+: undcrfigned owner he�cby ag�ecs �a hold and save harmless Ihe City ol <br />Everell (�am ony and all cloims for damages Ihal moy arite becouse o( Ihe <br />intlollalion and maintenon<c of the improvement here�o applicd (or and <br />furlhe� ogrees lo remove same upon nolice from the Ciry and lo replace al� <br />public p�operty domaged Ihcre6y. <br />C 'n,I/l� ! S <br />, .� t <br />' � i .. � <br />S(' I ✓ / G G' <br />Ir, I I, un'�r' / S 7� , n� = <br />� � �/''f'��� � <br />, <br />/� <br />l, , <br />.��v�� Mur7 dA� I:>'i <br />,.7� . /r' .�"�. . .9�Y <br />i <br />7q it /`/ ( / .. r.a- Ly <br />T - <br />InspeclAi'e Signafure ' <br />� <br />, • <br />Dalc ------- .. . _ . . . _ . <br />Remrnks <br />c::- <br />Vmiance Required <br />Ycs <br />No '� <br />� J <br />� i/L ��(.0 al—. <br />Signalure ol Applicanf <br />s�Y -�� �-- <br />Ad�ress <br />dasc.G�u G�-' .. - � <br />ii J b • �- <br />ielophonc Number <br />fic,cl- i 4�� 9 G v <br />Dale <br />S �O '-- o- y ✓- <br />Fee <br />D[PT. APPROVALS <br />f,iyinecrs <br />Wnlcr_�� <br />Slrecl _ <br />� � � .... .... � � <br />