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I <br />CITY ENGINEERS <br />EVERETT, WASH. <br />The Undersigned_.fi._ <br />Hereby applies for permission <br />At the following <br />SKETCH <br />(Work to be done) <br />APPLICATION FOR DRIVEWAY PERMIT <br />everett <br />Le <br />A{koved By <br />Dale Approved <br />. R...11..�' ;�. 1.�. �I;1�! 'f.^.r}r—^.i �f /fir-r.rr^• f`" 1./%"/� <br />E <br />S <br />L�3� <br />/N r GL , C4'G!'FCJ r. <br />Imo, Q, <br />rx/ S TPEET <br />The undersigned owner hereby ogrees to hold and save harmless the Ciry of <br />Everett from any and all clai, is for damages that may nrise because of the <br />installation and maintenance of the improvement hereto applied for and <br />further agrees to remove same upnn notice from the City and in replace all <br />public property damaged thereb/. <br />//LL/iC i") <br />:�r ✓y L..i�j bl.� i _ <br />Variance Required <br />Yes <br />No <br />—S7,101ure of Applicant <br />Address <br />Telephone Number <br />Impector's Signature <br />Date <br />