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Permit 3&-ll / <br />o. ........_...... <br />APPLICATION FOR DRIVEWAY PERMIT <br />u •� <br />w c' <br />u <br />J <br />G N <br />CITY ENGINEERS S <br />O <br />EVERETT, WASH. <br />Le <br />eVereH <br />r' <br />Approved By <br />c AaA.ZRR tt /. Z /fZ/ <br />The Undersigned. E L L E R r D /1 S T. (' O. Dare Approved <br />Hereby applies for permission to CoN57—R UCT A )Z • A-pN n/hf/ <br />At the following location___ �J /(o - BC� � Z57 -, <br />SKETCH s �� <br />(Work to be done) <br />N� <br />The undersigned owner hereby agrees to hold and save harmless the City of Variance Required <br />Everett from any and oil claims for damages that may arise because of the Yes <br />installation and maintenance of the improvement hereto applied for and No <br />further agrees to remove some upon notice from the City and to replace all ' t "� �) ti <br />public property damaged thereby. <br />-- !"ION _ <br />DRIViFU9i Si T10N <br />Signature of Applicant <br />WA i — Address <br />i <br />(NO •..SarL(G Telephone Number <br />Dole <br />