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_ � <br /> everen APFUCATION FOR RIGHT•t�F-WAY USE PERMIT ! i � 1 I <br /> _ ,_ .. � _�. <br /> � r� ,. , . , i <br /> � <br /> CITY ENGINEERS � <br /> EVERETT,WqSHINGTON PERMIT N0. 7� �—�� � <br /> llie Undersipned_ ���F_.:�' L� {�U � ` � <br /> Hereby applies for permission to ��F- - � r� a � G � „i � -, . � . i <br /> � T �l. a- � � OF 3 �� �- ' �T ( 7� �,. i. � � Y . <br /> At the following location 3 90� G,�,o�+-,i <br /> SKETCH <br /> (Work to be do�e) - — <br /> Iy <br /> N <br /> •� <br /> ♦ <br /> -� N��,n Q � � - �� �E � -Fo� '�i 2 ��n re EilS c�L'��u ►- <br /> /�CC. -�- �'o G_31E ,�1�� �"��C-.C- r <br /> �7'! <br /> DRrvEWAY SECTION The undersigned owner hereby agrees ro hold and <br /> NO SCALE save harmless the Ciry of Everet[from any and al� <br /> � -� ciaims tor damages that may arise because oi installa� <br /> +I'� LIP —�� tion and maintenance of the improvement hereto <br /> applied for and further agrees ro remove same upon <br /> �3o'�f,�__ _ ___ _ _ _ ,I 30" I notice from the Ciry and to replace public property <br /> '1' •'I <br /> damaged thcreby. <br /> Signat� ApPlicant � <br /> �� COPY OF THIS APPLICATION TO Address . / / �1 <br /> � E3EPOSTEDONJOBSITE. I �� 3 � ��t�( : �J,jnQtcl��,�, <br /> Telephone Numb �-- ��1' <br /> � CALLENGINEERINGDEPT. 259-8817 �/{�^ �� 7�.,_,` ��jr,�� <br /> �4 HOURS BEFORE CONSTRUCTION� Date —� <br /> CHECK LIST Fee � �L � <br /> Water Valve <br /> Drainage Dept. Approvals <br /> Curb& Gutter En9ineers <br /> Sidewalk <br /> Water <br /> Street <br /> Communications <br /> Inspector's Signawre <br /> Traffic <br /> Planning <br /> ate <br /> Remarks <br /> _�. �. �_ 7i <br /> Approved by <br /> e <br /> ,i���.\�1 `'.•'��+�-'..� DateApproved 0 <br /> �i`'.:�� <br />