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S�1 <br /> Permil No. . t.'.-:.�.C':... . C'VE't'e1f <br /> APPLICATION FCS' DRIVEWAY PERMIT <br /> CITY ENGINEERS <br /> EVERETT, WASH. 11proved By <br /> s i <br /> Data Approved <br /> The Undersigned <br /> Hereby applies for permission to <br /> oom <br /> At the following <br /> SKETCH — — ; <br /> (Work to be done) _ <br /> Cth I__ __ , <br /> gEFt E� ,,i, ',1. :Ni to I <br /> LOCAfION5 BEFORE EXCAVATION / <br /> It to <br /> I • NOTE \ <br /> CI,CCK WITH IN TCR <br /> IMIT. FOR WA1' R LINE, (i• <br /> WXA' IONS FIEF RE EXpAVA i ION <br /> The undersigned owner hrreby agrees to hold and save harmless the City of Variance Requited <br /> Everett from any and all claims for damages that may arise because of the Yes <br /> Installafon 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 properly damaged thereby. <br /> so 41 <br /> ,Y/ M <br /> r �, �./G/fes• r" — Signa:its of,Applicant <br /> •M <br /> C0 <br /> Address <br /> Telephone Number <br /> f ���,�•� I �j' <br /> Data <br /> Inrpeclor a Sigr•IptGn /'—' - <br /> 1 / <br /> Ar <br /> i roe <br /> bate / <br /> DEPT. APPRO`,.LS <br /> - Q1( <br /> ' <br /> �emnrks Engineers ` <br /> Water — <br />