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Permit No. <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETT, WASH. <br />The Undersigned <br />Hereby applies for permission to / <br />everett <br />�.e� <br />pproved By <br />Ttn/I L , l q( q <br />Date Approved <br />At the following location <br />SKETCH <br />(Work to be <br />v <br />Q <br />Qj <br />Q <br />l <br />Il� <br />ST <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 same upon notice from the City and to replace all <br />public property damaged thereby. <br />Varion_e Required <br />Yes <br />No <br />/J 7 <br />�-� �/♦sue+ i/)��J1 �� <br />Signature of Applicant <br />_R '2617- 74 <br />Address <br />