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Permit No..LG.fSI.. <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS t <br />EVERETT, WASH. <br />everett <br />�e <br />Approved By <br />The Undersigned V 6PZJ 600771 CCoNT-O/��RC7 )�ANSo/ a/�h'EsDate Approved <br />- <br />Hereby applies for permission to CQ V 57W UGT A /2' -L :lj i / 4'4 ✓( 1 <br />At the following location '��7r4 Ste' <br />SKETCH <br />(Work to be done) <br />ve <br />to <br />NO SG� YHIViMIvY _:5tCT./ON <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 I/ Yes <br />installation and maintenance of the improvement hereto opniied for and No <br />further agrees to remove some upon notice from the City and to replace all <br />public properly damaged thereby. <br />1�o+-e; AppllCN,ji. vtfl / U� pn� <br />iU <br />t r./{ <br />E C QEt1 if d `C'�NQlitP, I �'00 4 s t'11 S Signature of Applicant <br />