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evereH <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> CITY ENGINEERS <br /> EVERETT, WASH. proved By <br /> • , ( Dae Approved <br /> The llndersignedZG=-''-- _t,�{_ t-_i" : 1. !_ _..__.._._ _ .._._ � _ <br /> Hereby applies for permission to o <,j <br /> oZ / %� <br /> At the following location—. <br /> ----------- ------ <br /> SKETCH <br /> (WorN to be done) <br /> ' i•. 1 <br /> rl l •-4 <br /> LOW IONS BEFORE EXCAVATIONILL. <br /> r /r <br /> 3 y o � �• `: <br /> NOTE <br /> CHECK WITH W TER <br /> DEPT. FOR WA1 .R LIN <br /> L1aWiQNS HEF RE F�gAVATICN <br /> The undersigned owner hereby agtets to hold and save harmless the City of Variance Required <br /> Everett from any and all claims for damages that may arise because of the Yes <br /> installation and maintenance of the improvement hereto applied for and <br /> No <br /> further agrees to remove some upon notice from the City and to replace all <br /> public property damaged thereby. <br /> A ,R•. <br /> .�/�/a`J•e Signature of Applicant <br /> Address <br /> i•olephono Number <br /> Data <br /> i <br /> Inspecloi s Sianoriwe <br /> Date <br /> DEPT. AAPIPR(OV,A�LSS <br /> Remakt Engineers /�) .V/•/4j�`��r "-�"�ti""y�- .� <br />