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Permit No. i........t�.. <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETT, WASH. <br />everett <br />- Approved By <br />�v� A 3 <br />The UndersignedF�IZ�_ �1. G Ol Jl A) t�(2. _ Date A proved <br />r <br />Hereby applies for permission to ) k1 '-5?A Lk- l�. ? S LV I b E CO N G . M-kd t5, 1 <br />At the following location. 7 O � 1,2> Lt'' -�- '5T. :r I;:- . _ <br />SKETCH I I- r r 1 <br />(Work to be done) <br />- <br />The undersigned owner hereby agrees to hold ¢nd 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 impruve cent hereto applied for and <br />further agrees to remove some upon notice from the City and to replace alt <br />public property damaged thereby. <br />DkIVCWAY SECTION <br />NO SCALE <br />r <br />Iu <br />tip I <br />Nil <br />9Fr_ At-6 <br />Variance Required <br />Yes <br />No <br />I i <br />Signature of Applicant <br />