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Permit No. . ..1�. everett <br /> APPLICATION FOR DRIVEWAY PERMIT <br /> CITY ENGINEERS <br /> EVERETT, WASH. Approved By <br /> The Undersigned_ l�l G�/�! 1- J? ���'� �Q • kf�K U �� Date Approved <br /> t <br /> Hereby applies for permission to—'::�' -15T <br /> At the following location__j <br /> SKETCH <br /> (Work to be done) <br /> �. <br /> V' <br /> I <br /> WAKEFFOUSle I OFF ICv N° <br /> ScAre <br /> I <br /> >_ ANa Pl me <br /> I <br /> Op <br /> .��•. � � �_ t•••. i jib .ply. U .o__ <br /> e;br�a t* Pock,Vjr — <br /> T <br /> �W . -- -- — — — -- — — — — <br /> The undersiyned 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 /> DRIVEWAY SECTION <br /> t- <br /> NO SCALE ) 9 <br /> � -• ' Signature of Applicant <br /> I" LIP Address <br /> 30" _ 30" .? <br /> Telephone Number <br /> Dote <br /> Inspecloi s Signature $ n "O <br /> 'J 7 9 <br /> 5%Tlr r�i G ir�9AC Fee l-`l <br /> Date <br /> DEPT. APPR VATS <br /> 1 -- <br /> 0 <br /> Remarks Engine s <br /> \.Water <br /> Street <br /> - ('n,nm Pn;cm;nns� r.. <br />