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APPLICATION FOR Ri ;11T-OF•WAY USE PERMI7 � 12 6� <br />everrh <br />. �' 7�- 7 <br />��TYENGINEERS �ERMITNO._ v <br />EVERETT,WASHINGTON ^ �/ <br />The Undersigned � S �jUS Od� �" — <br />� <br />HereSy applies tor permissior to _�— QF C�� � ��* <br />At the following location <br />(Work to br done� <br />������-�,v,,,�_.r� r,r� -� <br />G <br />��f ir ✓ i n�C �� f� i t I_. S/., �(/. <br />�'� T `..] `I <br />��'��. � <br />; �S � a,:,_ � �> � <br />� - -I <br />, <br />FA�st� vv� .1 i'�Yc. �� � � <br />y----- - - - - <br />n f_ � --.► <br />1��. F��_ N-' t�'�..�:- �.-- <br />DRIVEWAY SECTION <br />NO SCALE <br />�..-�— I" LI7�1 <br />�30�.I. —�— �'30'�� <br />t <br />� COPY O! ?I II ; AhPIJCIiI IOhl -I<i � <br />I�ftFPOST[D'JNJ06SITf. � <br />�' (:l�LL ENGWEERING DEPT.259-9811 <br />74 HOURS PE�JRG CONSTRUCTION <br />CHECK UST <br />Water Valve �% "� <br />� �✓ <br />Drainage <br />Curb & Gutter ��r> 't"� <br />Sidewalk ( � �',: <br />� f� � <br />` Inspec�tu, �--`_ <br />-�` ---� �aJ- ��-- <br />� <br />a <br />��/ _ // �T �� <br />�o�� -,-. _ _ _ _ �— <br />Remarks <br />1 j,^�7 <br />INoF'6l,lOk��.l COPI <br />Thr, undeisigned owner herehy aqr^es to hold and <br />savc harmless the City o( Everett fwm arty and all <br />claims for dama9es thnt may arise be,;ause of installa� <br />tion and maintenance ot the improvement hereto <br />applied for and further agrees to remove same upon <br />notice trom the Ciry and to replace public property <br />dama9ed thelehy. , <br />' ; � � <br />Signature o Applicant <br />� i `� // S � � '� <br />Address / <br />.� -. .� .. / ' „�.� J <br />Telephone Number <br />G --i� - !� <br />Date <br />Dept. Approva�; <br />Engincers___ <br />Water__ _ <br />Street_ _ <br />Communic ation <br />Planning_ <br />Approve0 by � i� <br />Datr App�oved A <br />'�- i Ci <br />