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Permit No. ..7..-/............ evereV <br />APPLICATION FOR DRIVEWAY PERMIT �e <br />CITY ENGINEERS ; _ <br />EVERETT, WASH. Approved By <br />The Undersigned ULIt A 41 G. A%e %2 a Date Approved <br />Hereby applies for permission to_ — < l/j i eir liA,liur/ d) t- it t e <br />At the following location 30 3 3? !�_ <br />SKETCH <br />(Work to be done) <br />ry <br />o� 4o14 i <br /><,K <br />i.3 <br />3o3 <br />i <br />i <br />I <br />Wd 5 C A/C' <br />�NSYos_�. t1-'•CJLV 6RT <br />S'9LsT <br />FWeh-:; 1 <br />I <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 11.E improvement hereto applied for and <br />further agrees to remove same upon iw ire from the City and to replace all <br />public properly damaged thereby <br />DRIVEWAY SECTION <br />NO SCALE <br />I" LIP <br />1.30" 1, / 30 <br />Variance Required <br />Yes <br />No <br />Signature o/f� Applicant <br />p <br />Address <br />i, <br />