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Permit No.- _ y .... everell <br /> APPLICATION FOR DRIVEWAY PFRMIT 21 <br /> CITY ENGINEERS <br /> EVERETT, WASH. Approved By <br /> ��A,ent, /C; V7'/ <br /> The Undersigned_ <br /> /� y/�/ 5 7-'S�` �-r Data Approved <br /> Hereby applies for permission to C_D A✓57—, A '!-'O E : :t 4 c t i • _ <br /> At the following location 1gni ST 5 W <br /> I <br /> SKETCH <br /> ` <br /> (Work to b done) yer ro SCALE �/ <br /> fJ� <br /> Say roti' <br /> J <br /> �w <br /> J <br /> Oc. r <br /> 1\ <br /> (yV� <br /> W <br /> �m <br /> 1 <br /> a�teT fi <br /> ----- '----- Ali------ --- -- - --- --. <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 imptoveme: hereto applied for and No <br /> further agrees to remove some upon notice from 4.e City and to replace all n, <br /> public property damaged thereby. <br /> ( , rtt. ) i DRIVEWAY SECTION <br /> Signature of Anplicant <br /> t t-�o i'z <br /> Addres <br /> jTelephone Number <br /> cG,!aZ 2 Ly- 71 <br /> Dais <br /> Inspaclor's Signc:ure $ <br /> fee <br /> Dabs <br /> DEP . APPRQ�VAL <br /> Remarks Engine s — <br /> I Water <br /> Street <br />