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-% - . .__. <br />. � l �- <br />PermiF No. .. :.`> ,�.. _, �= — <br />..................... <br />AP�LICATION FOR DRIVEWAY PERMIT <br />CITY ENGINEERS <br />EVERETT, WASH. <br />The <br />. � <br />Hereby applies for permission to ��N 5/� � �— �� U/��� � �— �� L� D/r^/ <br />At the following <br />SKETCH <br />IWork to be done) <br />— Ct.,FUi.,,_�; 1�.'. , <br />� <br />-� <br />� <br />i <br />_._..... _ _._.�.— <br />Eve'r;.�`e� <br />�� <br />everett <br />, <br />r+�'�"��, �-c,J�iG4,. <br />Approved B�— <br />/.? /97, <br />Date Approved <br />/ <br />� <br />�_.___...._ � _-f '��----�r <br />1 <br />�Nv / � <br />�O <br />The undersigned ownen c�reby agrces to hold and save harmless tne City oF <br />Everelt from any and all claims ior damages thal may arise because of the <br />insmllalion and maintenance of Ihe improvement hemlo applicd for and <br />furiher agrees to remove same upon notice from fhe City and lo replace all <br />public property damaged Ihcreby. <br />� � <br />: ��-,�,�-�l� .���� <br />Inspecfor's inafure <br />Varioncc Required <br />No..._.... <br />1,., , � <br />, C t.� <br />��QQ�..�..�.,,; <br />Signafure of Applicanl - � <br />J�. O�rn: 3 Z Ca <br />Address <br />�ss- �isS <br />Telephone Number <br />Dafe <br />S / % r :�'o�_ i�oic� �`� <br />