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Kermit No. .J. ..f ... everett <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> 1 CITY ENGINEERS <br /> EVERETT, WASH. 'Approved By <br /> The Undersigned <br /> 1..f'LE. �_,.,�� Date Approved <br /> ��d�-y _ - <br /> Hereby applies for permission to.`� <br /> At the following location 2 6 :2- 10 —7 GT t4 PL ' <br /> SKETCH �0 <br /> (Work to be done) <br /> (f_ <br /> I <br /> T 76 TH PL fl CE <br /> F<E M 0 VE' eREPZ4CE <br /> CURB— <br /> /' <br /> — ASS o.�i EWA YS <br /> `i0 9 8 6 <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 agrees to remove some upon notice from the City and to replace all <br /> public property damaged thereby. <br /> 1i <br /> tlt <br /> Signature of Applicant <br /> -1A= er4e11 ,4 _ <br /> Address <br /> sfti 9 WAf <br /> Telephone Number <br /> M>9hGA y / 97a <br /> Dale <br /> Inspector's Signature $ 1 S-0 <br /> Fee <br /> Dote <br /> j DEPT. APPROV LS A 00 <br /> I Remarks i r , Enginean <br /> Water <br /> ------- --------------- Street �_ -- <br />