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� <br /> -- .�,�-.�,. �. , __� � <br />� cvcrrn APPLICATION FOR RiGHT�OF•WAY USE PERh71T 11106 <br />' �. <br /> CITY ENGINEERS <br /> EVEFETT, WASHINGTON PERMIT N0. 78— Z D <br /> The Undeisigned .� c� n4 Pf A K o �� o c <br /> Here�v anplies Im permission to � n n c tr a c t q 92 " ?,'r k e� f f'P n c o /o � <br /> 5��t- yv_f..jjc on C:f.. ��n �e� t� <br /> At the following location JSZD-2[� T~ �S Y 4 2 DO C r l b �. � <br /> SKETCH <br /> (Work to bc done) <br /> I <br /> � L�,i, � <br /> �r � � . <br /> :�� ; <br /> - ;a,:�: <br /> �il�t`i5 <br /> _r`... <br /> . I <br />� ��•��� , . i . <br /> ; . 1 � <br />� _ . , <br />. <br /> ,A`r, <br /> -. i <br /> DRIVEWAV SECTION The unde�signed owner hereby agrees to hold and � <br /> r+0 SCaLE save harmless the City of Everetr from any and all � <br /> � � � -� claims tor damages that may arise because of installa� <br /> tion and maintenance oi the improvement hereto <br /> —�`—LIP --� applied for and further r,�rees m�emove same upon <br /> �JO'w ____ _ �30"� notice from the Ciry aud to replace public properry <br /> dam ed lbereby. I' <br /> � /1�i {� <br /> }l.C.,� Lf . /I!4�IL� <br /> $i ature oi Applicant �yti o�� 3 <br /> �i 1C�) 2 ;Ci-}S.�v �fu 11,A� lfl�'rrr <br /> COPY OF THIS APPLIS;ATION TO Address <br /> BE POSTED ON JOBSITE. �7J— 1.; L � <br />� CALI ENGINEERING DEPT. 'L59�8671 <br /> Telephone Number <br />, 74 HOURS BEF�JRE CONSTRUCTION Datc <br /> —� <br /> �HECK LIST Fee <br />� Nater Valve (li@pt. Apptovel5 <br /> 7rainage <br /> :urb&Grtter Engincers <br /> iidewalk ' <br /> — Watcr <br /> Street <br /> - Cvmmunications <br /> nspcctoi's Siynawre Traffic <br />; <br /> Planning <br /> �ate <br /> emarks <br /> 11106 <br />, Approved by <br /> CUfTOM6A Date Approved 0 � <br />