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� <br />�� _� � <br />e���»�r rao.. �...� � <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINFERS <br />EVERETT. WASH. <br />. <br />:�+ ' <br />; <br />The Undersigned <br />Hereby applics (or permissior� <br />F�, ; �, T.� .�T <br />At the following location_�f - <br />SKETCH <br />IWork to be doncl <br />f''(nVll�r--F;i't _ - <br />�� ���p,•[!r DF�AINAGE <br />---�---------- <br />' NdT'R <br />�'NFt^K \NITt� WATER <br />t�: PT. �t`t; r.,+T�_R UNE <br />� � , ,� rvrA��eT7f1N <br />:J CI •,^ i , '.. <br />everett <br />Arproved By <br />Dote Appioved <br />� � . ' I / � r/ �! .�%C /!Af i. d.%� �. <br />� 5 �N S T�2EF_ T <br />The undcrsigned owncr 6ereby uprees lo hold and eavc harmless Ihe Cily of <br />Evercll Irom ony and all daims for domages thot moy arisc becnuse o( ihc <br />inslallation and main�enonce O( IhC impwrrmrnl Fcirin opplicd lor ond <br />(urlher agrees lo removc some upon nolicr Irom lim Ci!y and to �epinrr nIl <br />pubLc �����,�r domaged the�eby. <br />V L <br />}.s -" (`�.7`-•.<J h�� �� <br />Inspect�gnolure � ' <br />/ <br />�/i `l / 4 __ —_'__ <br />Dal9 <br />ncL;..��_u/t i�-�',1.<.. .�J.. <br />Vmioncc Rcquirrd <br />Ycs <br />No <br />/ ! <br />� „i.�r A ii�y _— <br />T Signal re al Applicunl <br />!�/)7 - S- Addreu Dl��, <br />�; ; `_� L - _. - � '� i� <br />'� � ielephone Number <br />�y.,a <br />� . J __. . _ '. _ <br />Dare <br />� � � � '— - -- <br />(cr <br />DEPT. APPROv,�I ; <br />Enr�inecrs a�._/.�,�_ <br />�Vu�rr.. —����'",�T-�-,. <br />.:..s. . ��. . <br />$horl , ' � ... . ' ...- , <br />