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everen EIFPLICATION FOR RIGHT-OF-WAY USE PERMIT
<br /> e ,: 10535
<br /> CITY ENGINEERS ' `
<br /> EVERETT,WqSHINGTON PERMITNO. '��� - /� ¢ �� ,
<br /> The Undeaigned E" �� t V� i i f-1( �� �� �' J� �- ,
<br /> Hereby applies tor pertnission to � I� -:�! t� ._(_ �-'- /� ' � j�y J � � � �� �
<br /> At the foliowing lowtion � -I � l I � � � L j� � ,
<br /> SKETCH '
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<br /> , DRIVEWAY SECTION I
<br /> � The undersigned owner hereby agrees to hold and j
<br /> I , NO SCALE save harmless the City o(Everett from any and all
<br /> � � claims tor damagos tha�may arise because of installa� I
<br /> . �'� lIP fion and maintcnance of the improvemem hereto
<br /> L.30..�.____ —._—_ --�30 I
<br /> applied for and further agr2ps to remove same upon
<br /> � � "1 notice.�(rom [he Ciry and o repiace public property
<br /> i ��ged th- -�by,����' �
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<br /> ignature of Applicant i
<br /> � �� v .�:
<br /> L�ol '-r— l�
<br /> COPY OF THIS APPLICATION TO � Add es ✓ � --�-�-'- I
<br /> ' 6E POSTED ON JOBSITE. i 1.-�;. ,��;- _, _ � � h .. _j ��r/ ��,
<br /> CALL ENGINEERING DEPT, 259-3';i l I Telephone N mber . ,
<br /> �1-'G.
<br /> � 24 HOUfiS �GFpRE COhlSTRUr,-fl�?N� Date .
<br /> i7 �
<br /> CHECK LIST Fee �
<br /> Water Valve
<br /> Drainage Dept. ApproVals
<br /> ! Curb&Gutter Engineers— ��. � �� ��f��
<br /> Sidewalk
<br /> Waterj�, y�w /��. ;;f.. . ,.j,, _��
<br /> �Z Street I
<br /> � Inspector's Signature Communicationa
<br /> Tratfic ' '/"l� - � !.- ; �
<br /> �� 17�0 Planning`��, T�� i� - . ,
<br /> -6ate �' � ' r
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<br /> Remarkc
<br /> Note: Original lo Customer
<br /> 1 Copy to File �0 5��
<br /> 7 Copy to Inspector Approved by . ( �
<br /> � � �.,i ' i� n.
<br /> Da[e Approved��� � � .
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