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everen APP���ATION FOR RIGHI'•OF-WAY USE PERMIT � <br /> e, - �a�s� <br /> CITY ENGINEERS <br /> EVERETT, WASHINGTON PERMIT NO. 7 �7 � �� <br /> � The Undersigned �� �rl � � lS v iv � i- ,� ', <br /> Here6y applies for permission to `G /�/ST2 U i - ,={ j�+ '� y���;� �����J � � <br /> '� At the following location %� � ! � G t,�i l��Qp +��i i_ ; <br /> SKETCH � <br /> ! (Work [o be done) ' <br /> sC r� /�i 1��(�N"c� <br /> � <br /> I <br /> I , <br /> �I t" <br /> , � <br /> I <br /> ! i <br /> �' <br /> , DRrvEWAY SECTION The undersigned owner hereby agrees to hold and <br /> � , NO SCaLE save harmless the City of Everett from any and all <br /> , � -� claims for damages that may arise because of installa• <br /> �, �— f i" Ua tion and maintenance of ihe yrnprovemen[hereto <br /> I L30" I gp� I applied for and further agr s to remove same upon <br /> �!_---�---� --'T'—'1 notice fr m-tfi it <br /> � da, aged t eby, Y and o replace public property <br /> ' i re ot Ap ica <br /> COPY OF T61S �1PPLICATION TO Address � � � � <br /> � BE POSTED ON J06SITE. � ZS .- Z, � � '-� <br /> CALL EfJGINEERING DFPT. 259�II671 Telephone Number � . <br /> 74 IIOU7S 6EFOflf CONSTRUCTIONJ Date� C-�-� � <br /> �— --� /i� y <br /> o � <br /> CHECK UST Fee /! �7" . <br /> � Water Valve <br /> Draina e Dept. ApprOvals � <br /> 9 <br /> Curb&Gutter �^ ���r�� ' <br /> Sidewalk Engineer�s�7 - . i ��� -i <br /> Water�,^r79 -i� �" �-�7i� / .� . <br /> �� ,��:, <br /> Street F �, �_. � ,� /�� , <br /> CommunicaGons <br /> Inspacror's Signature <br /> Traffic <br /> Planning .. �_ � <br /> d[�C - : �:,:��: y�� ' <br /> Remarks <br /> . Note: Original to Curiomer <br /> '�, i Copy to File �O'76 JC <br /> � i Copy to Inspector Approved by <br /> Datc Approved <br /> _�e_�. <br />