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<br /> APPLICATION FOR RIGHT•OF•WAY USE PERMIT
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<br /> � � 1Q521
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<br /> � CITY ENGINEERS I
<br /> E•VER[TT,WAShIINGTON PERMIT N0. '�. - > >��
<br /> The Undersigned /i -1 �-� 1 I� P9 I�, � f-f 1 i- ,- �
<br /> � Hereby applics for perinission [o - n n ; i � . I i - �� � - j s ' A � �� , l f �/,. ,
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<br /> . DRIVEWAY SEC710N\ �� '� \ - � The undersigned owner hereby agrees to hold and ,
<br /> NO SCALE � . _ -��- save harmless[he Cily of Everett trom any and all
<br /> r— � � � . claims tor damages that may arise ber.ause of installa�
<br /> � �I" LIP � \���� tion and maintenance of the improvement hereto
<br /> � . appl�ed for and further agrees to remove same upon �
<br /> I 3U_y,�____ �_3o"_I - . notice from lhe Ciry and to replace public property
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<br /> . . �.. �.\ . damagedlhereby.� i .
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<br /> - SignatuYe of App i ant ' '{ �.
<br /> ' COPY OF THIS APPLICATION TO - � Address .., ��
<br /> BE POSTED ON JO(iSITE. ��-�/.� � �k�1= �� ,Y� i
<br /> TelepBone Number `'\ �
<br /> CALL ENGINEERING DEPT. 259�8811 � - •u �
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<br /> 24 FIOURS RC�ORE fONSTRUCTION� . , � �� ,� ��� �� ����
<br /> CHECK UST .�� , . Fee /��( i
<br /> Wator vaive Dept. Approvals �
<br /> Drainage ' ' ',
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<br /> Curb&Gutter � � � Enqineers_ �
<br /> Sidewalk Water A',•'. /?..^ /t:.,-. r�-/. i:=1✓, yfs ,
<br /> Street � � �� '�,
<br /> �� ��✓=C��-r.ed.-t Cammunicatio s i
<br /> nspec[or's Signature / -��-'''� ' i
<br /> �. Traffic �-;��.. �
<br /> Plannir.g ' � I
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<br /> Remarks �
<br /> Note: Original to Customcr '
<br /> 1 Capy to File �O 521 j
<br /> 1 Copy to Inspector � APProved by ' , �. � ,.
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<br /> Date Approved � -
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