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� T <br />� <br /> i APFLICATION FOR RIGHT-OF-WAY USE PERMIT '� 1 2 71 <br /> ' tverett <br /> l ' � ' <br /> I � � <br />` CITY ENGINEERS � ' K <br />� EVERETT,WASHINGTON PERMITNO. � �!% <br /> IThe Undersigned � - , <br /> IHereby applies tor permission to - � � � l� ,' - - -� <br /> At the foll�wing location . <br /> � ,i <br /> SKETCH <br /> (Work to be dcne) <br /> ' <br /> - - 5 __ ,, _ � � J�IC�J!/ — <br /> � 1 - <br /> � ,� � � �1 <br /> , <br /> ' i I`��.0 y�y ��a�df4 �vT S �J <br /> --- - _'-_I 1� i'//-�� i ''- ---- <br /> -- ,- <br /> _ � � A« .� --_- i <br /> , ''�v�,.sc�� lf 'r,� � <br /> � � ' �; r"t,�- , . ,b ( <br /> ; �� �� , t <br /> . <br /> ����. . `. •. .�' `.-n __ __ . `i <br /> „ � . <br /> �� Or -r ; <br /> � . <br /> � ' ' <br /> _ i, <br /> _... '. _ - _ ,. <br /> k � _ <br /> _ _.,.�L_ L.��- I- �I � � � ._ ' ' i -...-.-.I - <br /> 1 �•'_'� <br /> �.-- <br /> � r ,- C :' <br /> DRIVEWAY SECTION The undersigned owner hn.teby agrees lo hold and <br /> NO SCALE save harmless the City of Everett irom any and all <br /> - -- - � claims tor damages that may arise because ot installa- <br /> � tion and maintenance of the improvement hereto <br /> I" LIP applied for and further agrees to remove same upon <br /> I 30'�__ _ _ __ _. __ . 30 - notice from the Ciry and to replace public property <br /> � ' dama9ed thereby. . <br />� ' <br /> Signature of ApPlicaM . <br /> ---- -�-�----� - � Address . <br /> COPY OF THIS APPLICATION TO �� - -� <br /> BE POST[D ON JOBSIT[. �X <br /> Telephone Number <br /> CALL ENGIN[ERING DEPT. 259�8877 <br /> 24 HOURS BEFOR[ CONSTRUCTION Date� � <br /> � CHECK UST Fee � <br /> Water Valve Dept. ApploVals <br /> Drainage <br /> Cur6 &Gutter Engineers <br /> Sidewalk Water <br /> �-, Street _ <br /> � Communications <br /> InspectoJ's gnature lraftic <br /> -7 �`y� Planning <br /> C{ - � l- l0 <br /> -�ate <br /> Remarks q q -7q <br /> 11� I .L - <br /> Approved 6Y � ,�" � " � �y <br /> ; —j ' �_ <br /> � <br /> ;:J� i '.`�.�y ..'5..1 . <br /> s- =`- � 9 <br /> Date Approved "7 "} <br /> �.':�.:FCCTOR'S COF`* � � i--.'�.�1' ' -. � <br />