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Permit No. L ..4..-•• ti <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETT, WASH. <br />Th U d ed <br />e n erslgn 1 Hereby applies for permission to Z� ri% C' <br />SKETCH <br />(Work to be <br />The undersigned owner hereby agrees to hold and save harmless the City of <br />Everett from ary and oil 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 properly damaged thereby. <br />everett <br />A oved 8y <br />P� Ryr�l lgc�9 <br />Date Appraved <br />Variance Required <br />Yes <br />No <br />�— $i_gna'ure of Applicant <br />�: ; Address <br />