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--77�7 r—..w <br /> Permit No,•.3.�.1...7_...... f_s <br /> ._ verc.tt <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> CITY ENGINEERS s <br /> EVERETT, WASH. Approved By <br /> F1- 20 - -?o <br /> The Undersigned r` " �� / • �^ _ Date Approved <br /> Hereby applies for perreissian to A?,e-o*w y1 '`Te4;I AO G ' r �cr�� --Ioe <br /> At the following location��� r <br /> SKETCH <br /> (Work to be done) <br /> 70 <br /> 15' <br /> 7 Co ra OG ACE <br /> oA/C, D/iY IEMDVE �' ,QER GONG Gae'P� <br /> N <br /> N t �r� <br /> m �SviwAY -...S .ION r <br /> (IVn'_ SCAL j , <br /> 0 � <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 Yes _.. <br /> installation and maintenance of the improvement hereto applied for and No <br /> further ogreec to remove some upon notice from the City and to replace all <br /> public property damaged thereby. <br /> 111fiWAY..SiCT10N_ <br /> Signature of Applicant <br /> 20�-- — <br /> r p WR)crlII L4E Address W,15-W, Y,62;ra <br /> Telephone Number <br /> Date <br /> Inspecfoi o s Signature 4/06/76 <br /> � -G� �,n Yom' p�alo Fee <br /> Date <br /> DEPT. APPROVALS <br /> Remarks <br /> �•, f Water. — <br /> SIreN <br /> foram„nlw:ions .-� � � <br />