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, �LICATION FOH RIGHT•OF-WAY U�ERMIT � 1 Z 7 6 <br /> everelt <br /> •� � <br /> CITY ENGINEERS <br /> EVERETT, WASHINGTON - - PEflM1T N0. I r� � � <br /> �:.. <br /> The Undersigned�1'�_c + _ __�,... _ <br /> L -- <br /> Hereby applies tor permission to�_ ./'.-t../!.=[j�_7'1.�-�-;,,�� "r' � -' �. �� '�-' (,�`w t <br /> — '7� ( <br /> r ' �� (_' '` �(i <br /> At the following location � 1 ? C� �, <� f�� � • . � �� / i <br /> SKETCH <br /> (Work to be done) <br /> DRIVEWAV SECTION The widcrsigned owner herebp agrees to hold and <br /> NO SCALE save harmless the Ciry of Everett irom any and all <br /> ---� -�-� � claims for dumages that may eiise uecause of installa� <br /> --- � <br /> I" LIP tion and maintenance of the improvement hereto <br /> �30.'+ _ . I 30'� applied tor and further egrees to remove same upon <br /> � -- � -� �-----�-�� •�• notice hnm the City and ro rep�ace public properry <br /> damageq there6y. � <br /> i f-;i <br /> ;1 � , L,J � � � ip � Ja � i :.( . <br /> Sigrla re o PPI�e�M �t1�1 �,. /:, 1�'. � iJ <br /> r��. 'r/� - i � � C��(., ', � ,��. �. i . �� <br /> �COPY OF TIiIS APPLICATION TO �Add�ess . <br />� BEPOSTEDUNJOBSITE ��:r%-���' ' '/ 'I <br /> CALL ENGWGERINGDEPT.259-8011 TelephoneNumber <br /> .:�� %/ � '1� <br /> 24 HOURS BEFORE CONSTRUCTION Dare� <br /> CHECK LIST Fee -- <br /> Werer Velve <br /> Drainage UBpt. ApproVels <br /> Curb&Gutrer Engineers __ <br /> Sidewalk Water <br /> /J — S Vee� <br /> st.(��L Commun icetions_ <br /> lnspecto�'s Signa ure <br /> T�affic <br /> _ � J � '��� Planning -- <br /> are <br /> Rem�� <br /> 11176 .. , <br /> APVrovedby;; ' �._. ' I1.._. <br /> c � <br /> % . <br />'t``,.`I) Dare Approved � � � � o <br /> � INSPEG70R'S COPY i� . . -�- ( ) - ! ��'.j I <br /> _ i <br />