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Permit No. i <br />APPLICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETT, WASH. <br />Le <br />everett <br />Approved By <br />The Undersigned \N i i—L I kN NA Date Approved <br />Hereby applies for permission to IN r uj I DF1 I U7n-J &-,Z <br />At the following location <br />SKETCH <br />(Work to be done) <br />PUD - <br />Vf\ULT <br />rF-Er_'r <br />4.1GN T <br />/n r <br />IK, <br />/.,14 <br />The undersigned owner herebt agrees to hold and save harmless the City of <br />Everett from any and all clams 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 />DRIVEWAY SECTION <br />NO SCALE <br />30" ----------- • -•1 <br />I J <br />-- I Nb 1(.Aa <br />Zz.f3 <br />No <br />S I vaWA I— K- <br />Variance Required <br />Yes <br />No <br />11-1(�43R/ LI) <br />Signature of Applicant <br />Address <br />Telephone Number <br />Date <br />