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��� . . .h .a... -,.+a . . � . . . . _... <br /> �., �4 "c _ . _ ..., _ . . . , <br /> ,�"3' , everett ' APPLICATIOI� FOR RIGHT-OF-WAY USE PERMIT � 11171- <br /> ;��s. h - <br /> ..-�.� <br /> .,��p e ,�r�� ��E�C',�'y/7�� Tr.c,�1;�=, <br /> -`�,CITYENGINEERS %"c�"/� �/�,.�;.� lit--% 7l,^f-f. ��I.�J�CC�i7l���i' � � <br /> `�.EVERETT,WASHINGTON � <br /> PERMIT NO.-78 —8D <br /> Ths Undersigned O�i£ � — ' � <br /> Hereby applies for pertnission to �l- � n � - <br /> T o —i%,C�p,g.,/ <br /> �'rlFi G� �/../�r - �.P� OF /s '�!' Ll.�o� i�/.IvFr2 .�. Onr 3�'T� Sn•_.1T, T <br /> At the following location 3 90 3 r�r o,a-�i <br /> SKETCH <br /> IWork to be done) <br /> � �✓ �� <br /> i <br /> �t v � <br /> !-� . � � � <br /> � �� � aG�� : <br /> �I? - / <br /> , <br /> �,;- . <br /> ��-�� <br /> .�;� ,,t ; " <br /> ,/ �: - <br /> DRIVEWAY SECTION The undersi��ed owner hereby agrees to hold and �? <br /> No scaLE save harmless the City of Everett fram any and all <br /> � � claims for damages that may arise because of in:calla- <br /> �__.}i" LIP tion and maintenante of the improvemen[here[o <br /> 3o"„f� I 30" I �Pplied for and further agrees to remove same upon <br /> notice from the City and to replace public propeny <br /> damaged there6y. <br /> Signa� Applicant <br /> �COPY OF THIS APPUCATION TO Addrr.s_ s !----Ss-Z����{";. �,z�� <br /> �3�POSTEO ON JOBSITE. � � 3 r / �p�/d7� <br /> _A_L E'��3�;Ic���6�IG DEPT. _59-�81I � T�leUh�mb� �"'?� ;. <br /> �-�, 5 � y�:��-µa. <br /> I 2d HOURS beFORE CONSTRUCTIONI Date _ � <br /> CHECK UST Fee 0 �V <br /> Watar Valve <br /> Drainage ,pe t pp oVals <br /> Curb&Gutter � : �Q 9� ' � <br /> Sidewalk Engineers -� � � i <br /> Warer � � <br /> Street � � � <br /> - Communications <br /> Inspector's S�r,nature <br /> Traf fic <br /> -�__. <br /> Planning <br /> ate <br /> Remarks �I J ^� <br /> ly ( <br /> APProved by <br /> CUs7oMER Date Approved 9 <br />