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' . . . :�.p � . <br /> ' AP� ';ATION FOR RIGHT-OF•WAY USE PERMIT <br /> - evcreU —. <br /> e sao15 <br /> CITY ENGINEERS TjA��� <br /> EVERETT,WASIiINGTON PERMITNO. ��f i <br /> DA�1�D ,°. . �3R-ANDv�LI� i <br /> The Under:;igned_ -�� '��� �� ���'^� <br /> I <br /> Herety applizs for�iertnission to CD t�1 S{� . A 23� W I.D C Cd n1G r �2.�vEt�� A y � <br /> I <br /> I <br /> Atthefollowinglocation 8 � � � �l�rjT GL �` DQh ' <br /> SKFTCH — I <br /> (Work to be done) i <br /> �l8--�--�• i I <br /> -�- N o S� �� <br /> I I <br /> i <br /> I� <br /> j <br /> �iog i <br /> ; E, [a�E�.1 ��. , ; <br /> , <br /> � <br /> i <br /> � <br /> j <br /> � <br /> I�j I <br /> � � <br /> IR154A�-� �2�� GuW�JLT � <br /> — — — �Ix.� c� �i�uEr�i�.�JT — � <br /> � �'�'/� ��� � ^- � <br /> �qs r G��v��� I <br /> � <br /> �i DRIVEWAY SECTIO The undersigned owner hereby agrees to hold and I <br /> � NO SCnLE � save harmless the City of Everett from any and all i <br /> � ZTj� -� claims tor damages that may arise because of installa- i <br /> � I'� LIP , tion and maintenance of the improvemei�c hereto '. <br /> � I 30 I I 30' I 4�`�'`" applied for and further agrees to remove same upon <br /> , t'—�f'—�-----��T�1 notice from the Ciry and to replace public property � <br /> �aged ie�. �� ' � <br /> Signature of pplicant���� I <br /> ' ,.�� _�-�� ��v-r . �.�..� � <br /> COPY Of- THIS APPLICATION TO �� I�7 dress / � .- <br /> . BEPOSTEDONJOBSITE. � 1� J�U�E"Ic_ � (�(/i'}-- . <br /> CALL FNGIN[ERING DEPT. 259�t3811 I Telephone Number , <br /> � �7 36s -�1�5 <br /> �� 2�: FIOUI'sS REFORE CONSTRUCTION� /�G ` Date � <br /> ------ -- ��, � � -� - _� <br /> CHECK LIST Fee � <br /> Water Valve � ��S� �' <� ��C�� .'�i � <br /> Dept. pprovals � fg� <br /> Orainage D ^_ �� <br /> Curb &Gutter EngineQfS�;�,n�`' l�i ' <br /> Sidewalk Wa1e1� `//� <br /> [� /� Street�-�--�,rs� � � _Qi �'� <br /> 1�r'm. � Yl�[Tt� L Gt,����� u / ��,� 7/�� Ccmmunicatio � �� I' <br /> Inspector'sSignature � �, dyl Traftic � I <br /> ,C:'+� <br /> � <br /> �' (�`j-'7C� Plannin �E .G 7—�(n- .�.�',� <br /> at�_ — <br /> Remarks <br /> . Notc: Original to Customer ' <br /> , �oPY to F��� 10 015 , ' <br /> 1 Copy to Inspector Approved by ��. <br /> 1 Date Appr vo d • � • <br /> 7/��7� <br /> ..�.._ . <br />