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Permit No. ..r �. .,.� <br /> everett <br /> Aslk <br /> APPLICATION FOR DRIVEWAY "ERMIT LW <br /> CITY ENGINEERS <br /> EVERETT, WASH. proved By <br /> The Undersigned�i, 1 f—!;ice !` - 's L __ Date Approved <br /> Hereby applies for permission to ' — ----- <br /> At the following location_ — _.c t_---- --.�--- <br /> SKETCH <br /> (Work to be done) _ <br /> �1 <br /> MPT. i rqE <br /> LOCATIONS DF.FRRE EXCAVATION I j <br /> :I <br /> NOTE <br /> CHECK WITH W TER \ <br /> DEPT. CCR I WAT R UNQ;.:1CATICNS HE RF. FJ(QAVATION <br /> i <br /> The undersigned owner hereby agrees 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 Yet .. ._..... <br /> Installation and maintenance of the improvement hereto applied for and No <br /> further agrees to remove some upon notice from the City and to replace all <br /> public property damaged thereby. <br /> i <br /> /JD Sionoturo o/ Appliconl <br /> C�) <br /> Address <br /> Telephone Number <br /> n <br /> Date <br /> Irnpercfo/s Si(Iture $ <br /> r <br /> v Fare <br /> DEPT. APPROVALS <br /> Remoris —� — —-- Engineers <br /> Waxer—L..' <br /> Street- <br />