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`�- 7 z- 95 <br /> Permit No. .. . .......................... Feverett <br /> APPLICATION FOR DRIVEWAY PERMIT Lw-) <br /> CITY ENGINEERS �'i//' <br /> EVERETT, WASH. Approved By <br /> �FOTFM.gF� 8 ���2 <br /> The Undersigned D �2'Q- Date Approved <br /> Hereby applies for permission to GONSTR . A 2"l r w s Ot✓ G1 w- <br /> At the following location_ <br /> SKETCH PO RTIOIJ OF <br /> (Work to be donei t—O T I' <br /> 20 - y(DT" 6T. S.u), <br /> r <br /> I.IFW D121 UE 4-VA- r' <br /> / CoKcR� r 'm PIS <br /> No <br /> P.P. MAY NAVE TOBE <br /> 69A VC I.LFD <br /> 7i:� TH5T• 5.W, EOar c-4 p"v' r <br /> The undersigned owner hereby agrees to hold and save harmless '+ Cly of Variance Required <br /> Everett from any and all claims for damages that may arise bec...e of the Yes <br /> installation and maintenance of the improvement hereto applied for and No <br /> further agrees to remove some upon notice tram the City and to replace all <br /> public property damaged thereby. <br /> DRIVEWAY SECTION <br /> NO SCALE <br /> Signaturept Applicant <br /> ' LIP Addre:r <br /> elephone Number <br /> " <br /> —� Date DEPT. APPR9VAL5 <br /> Remarks Engines <br /> water a <br /> �'Street r o <br />