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Permit NO.. .................1... <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETT, WASH. <br />i <br />everett <br />,e., <br />Approved By <br />The Undersigned W I L L I k" (-=s, 0 U RC Date Approved <br />Hereby applies for permission to N S7A I—L- A 23, t CON[RETE D RSUlm UJI <br />704 - 2"-'- �� T S � - <br />At the following location <br />SKETCH <br />(Work to be done) <br />NO <br />rJGPL4 <br />The undersigned owner hereby ogress to hold and save harmless the City of <br />Everett from any and all claims for damagos that may noise because of the <br />installation and maintenance of the improvement hereto applied for and <br />further agrees to remove some upon notice Isom the Ciro and to replace all <br />public property damaged thereby. <br />DRIVEWAY SECTI0L <br />NO SCALE <br />j I" LIP <br />30" <br />1 30" <br />� I <br />4 c r�rp r>:q4U' T <br />Variance Required <br />Yes <br />No <br />/ - - ! L 0. i „ . , ,i I 1 ! c r--- -- <br />Signature of Applicant <br />Address <br />Telephone Number <br />Dale i <br />