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Peimit No. / �... .✓ <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERM, WASH. <br />The Undersigned <br />0 <br />Hereby applies for permission to � <br />��yy <br />--r►-a <br />At the folloA-ing location —go 5 5 — �' `� S--r, `� ° 4 <br />SKETCH <br />(Work to be done) <br />10' slS1L,T4 EA%FME:t•JT <br />}x—Y----Y—Y—><•—r—tf <br />� 4 <br />VAvVI) <br />APE -A <br />Fv rw le GT <br />PnaKtuG . <br />---/A/.S nq L L /G L clL VEr1 T <br />ISr, <br />The undersigned owner hereby agrees to hold and save harmless the City of <br />Everett from any and oil claims for damages that may arise because of the <br />installation and maintenance of the improvement hereto applied for and <br />further agrees to remove same upon notice from the City and to replace all <br />public property damaged thereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />f�— LIP <br />j_ 3prr T— O' <br />L if <br />lnspect.sr's Signature <br />:5:1 cEO 4 -30 -7.3 <br />Date <br />everett <br />'%. e <br />Approved By <br />Variance Required <br />Yes _......... <br />No__.._........ <br />V14 L Cn rip. <br />Signature of Applicant <br />g5163 sra-,Oae .Ar/f /✓e. <br />r7LerAddrut 9�/ p 3 <br />Telephone Numbw <br />73 <br />Date <br />Fee <br />73 <br />Remarks <br />