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Permit No.7..1...�..�// <br />......../ <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />everett <br />4,e� <br />EVERETT, WASH. Approved By <br />The Undersigned R IMF{�t:l p <�(`f' y.jT Date Approved <br />Hereby applies for permission to tJ "T ^C—Moss STR—CC. "Z A Ll— <br />/AltlEtli 110( JEIZ— <br />At the following !ocation Bo } f3 . I--, ST. <br />SKETCH <br />(Work to be done) <br />l�Z' <br />16� <br />.—._ VTJi7LrRGt8 V-Po _--" <br />Powers. C�o FJ DUI'r <br />—,Sp TH_5 1A W. r- — <br />� � �. w• e�CROt[rNC• S� BAST rb(' <br />The undersigned owner hereby agrees to hold and save harmless the City of <br />Everett from any and all 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 some upon notice from the City a :d to replace all <br />public property damaged thereby. <br />DRIVEWAY SECTION <br />NO SCALE <br />I <br />Lr re <br />Inspector's Signature � <br />Daft <br />tJo vJot4or- tins 61iE#,+ <br />G or-, Pt_6 •rt`. o <br />Variance Required <br />Yes _. ........ <br />No <br />/41 IlIntz �r, - <br />Signature of Applicant <br />Address <br />xr-z9d6H <br />Telephone Number <br />Dote <br />�_ 20 - 15 <br />N� <br />DEPT. APPROVALS <br />Remarks Engineers <br />Water _ <br />Street <br />