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Permit No. .J... �..1. K <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETT, WASH. <br />everett <br />,e, <br />Approved By <br />j��Q <br />Tire Undersigned!" - /*,,*s �r `' J Date Approved <br />Hereby applies for permission to 0-o.vsrx-'mw <br />At the following location .31Z a 9 "%- S r <br />SKETCH <br />(Work to be done) <br />89T" ST. <br />k,c�e of Pnv'r \ <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 tyre improvement hereto applied for and <br />further agrees to remove some upon notice from the City and to replace oil <br />public property damaged thereby. <br />DRIVEWAY SECTION <br />NO S(*LE <br />- 2s' <br />CQr, <br />sed <br />Vorionce Required <br />Yes <br />No <br />ei lCJ <br />Signature of Applicant <br />Address <br />