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APPLI�:ATI�N FOR RIGHT-OF-WAY USE PERMIT 113�Ej <br /> everett <br /> e � � � <br /> CITY ENGINEERS PERMIT NO. 78 '- 27-3 <br /> EVERETT,WASHINGTON <br /> The Undersigned � <br /> Hereby aPPlies fo�permission to • .,.�.�� � �% , ' , .r��-'t-�j�� � .y ' U�ric. r. i <br /> ,�11 A�7l�w�n./ n�. _ ! <br /> At the followinp location /QZ/�iC.�6'..��t; .;'9 �� -- <br /> SKETCH � /�. <br /> �Work to be done) (� � <br /> o W � l� <br /> �� <br /> 6 � . ^, <br /> G�"� �i/ � <br /> �,r� ,� / <br /> � � <br /> � <br /> � �� <br /> �_ ^�,,�.��� <br /> �� �'�� <br /> � iJ <br /> �7 ��1� l.V . 17� �a � <br /> � � ��f-� ' ����1 <br /> �, � � z. <br /> ORIVEWAY SECTION The undersigned owner hereby dgrnes to hold and <br /> NO SCALE save harmless the City of Everett from eny and ell <br /> ------� - - --.{ claims for damages thet may arise bccause of installe� <br /> � tion and maintenance oi :he improvement hereto <br /> �_ 1��� ��P applied tor and further egrees to�emove seme upon <br /> �30'�.. - ..�.30�.� notice tro �iry and ta rRpla,:e public property <br /> . . --- -- dafna the y. � � . ' <br /> ` <br /> � � <br /> ` S�gnetUr- ot Applicent - � <br /> r �`LQL1 u,.-� �i�� � <br /> � -- - --� --- - --� Address <br /> �COPY OF THIS APPUCATION TO <br /> BE POSTED ON JOBSITE. Tele ho�e Number <br /> CALL ENGINEERING DEPT. 2598811 'S�Z'�7.1� — <br /> Date <br /> 74 HOURS BEFORf CONSTRUCTION <br /> . .__.---- ---- - -- ----- - <br /> CHECK LIST �� Fee <br /> Wata� Velve Dept. Approvalf <br /> Drainage <br /> Curb&Guttar Enqinee�s <br /> Sidewelk Wetei <br /> Street <br /> Communications — <br /> Inspector's Signature Treitic <br /> Planninp <br /> at�e - — - <br /> Remn�ks � � '� .` � . <br />