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Permit No..3::!5)/.. <br />—v <br />v _- <br />-V r <br />u t <br />.I U, <br />N <br />CITY ENGINEERS F `y <br />U <br />EVERETT, WASH, v <br />APPLICATION FOR DRIVEWAY PERMIT <br />The Undersigned E'LL EY t^nn/ST• C'D. <br />Hereby applies for permission to Cn us TR UCT' A ] a <br />At the following location R/ V— � g <br />SKETCH <br />(Work to be done) <br />w fnt t' <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 and to replace all <br />public property damaged thereby.,�_�!� <br />Ysi, - SCCi ION <br />'5!)7 <br />(1J� •5ca[':) o[�lv/!11' �SLC•ftON.. <br />t •.." •1 S]�i <br />. $c7Nla <br />everett <br />�e� <br />Approved By <br />r.L�2�c/fi�Si ZZyzz <br />Date Approved <br />Variance Required <br />Yes <br />No <br />y y.r <br />alure of Applicant , <br />P/ S.W. C V t 6 <br />Address <br />356- 5n (- I)" , ". / <br />Telephone Number <br />/Z s /7r <br />Date <br />