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. APPLICATION FOR R!GHT•C�•WAY USE PERMIT <br /> everett <br /> , . _ •� 1117 2 <br /> CITY ENGINEERS <br /> EVERETT, WqSHINGTON PFRMIT NO. 7 F��', - c� � <br /> The Undersigned_� � � -� , � ., <br /> Hereby applies for permission to � ' ' �" ) - ..� � �, ' f <br /> ;j,: � ' . . :� ,_ <br /> At the following location (� `- ;/ ,q �' � ., F <br /> SKETCH <br /> (Work [o be done) <br /> j+�, <br /> ��\ iil•r-.'. ,= . <br /> -- - _` F-- '� ?'; <br /> ; � 0�«�r-wAy ;r , . .. <br /> t -- __ _ <br /> � <br /> i �'' o� '� __.�, <br /> � ��' �2cv - , , � <br /> � � . � �>� . - �� . <br /> ��� � .; �. ' �' � � <br /> r <br /> . , <br /> �'� <br /> \ <br /> � <br /> 17u L,Ex \ <br /> \ <br /> /o/G � /G�JG ' ' � <br /> , �, <br /> I <br /> i <br /> � <br /> '�� <br /> DRIVEWAY SECTION The undersigned owner hereby agrees td,hold and <br /> , . NO SCaLE save harmless the City of Everett from any and all <br /> r---- � �, claims for damages that may arise because�of installa• <br /> �i" Up —�� L'-'�,i:� tion and maintenance ot the improvement h�ereto <br /> i J �-:;,� � - <br /> �30" gp� I , applied for and further agrees to remove samewpon - - <br /> ---�-�-----�--�'1 notice from the City_and_ro replau oublic properry <br /> ;. '1�F��. _t�.__damaged�thcieby. <br /> '� l—..__-----�___. -- .. i7i�-,..a. �'"-.. . <br /> _....��--- � �` ' N_ t ...�'' ��Si9natureof.Applicant .;:<.: ._` .. , <br /> _ �-._._--- •f �_ ,., . � s'c� .,� <br /> � COPY OF THIS APPLICATION TO � �yava �� Address . <br /> BE ?OSTEDONJOBSITE. ',..��n,�,� ��j� - "- ' r'- ; % � 'c: _. ��- -: SCc <br /> CALL ENGINEERING DEPT. 259�8611 `"� . — ---'--�"- � ' Te�ephone Number <br /> - i _ _ <br /> 2A HOURS BEFORE CONSTRUCTION Date <br /> CHECK LIST Fee � � � <br /> Water valve De t. A rovals <br /> Drainage P PP <br /> Curb& Gutter En9ineers <br /> Sidewalk <br /> Wa[er <br /> � Street <br /> Communications <br /> In�;�ecto s Si9naturc — <br /> Treffic <br /> ��� ,,� � �pR� 7� Planning <br /> at-6 e <br /> Remarks <br /> 11172 ,� � ;� <br /> APProv� �,� ` � J��.--•. <br /> ,i .J ; ., � �k�' '�= <br /> gp INSPECTOR'S COPY Date Approved� �� -� �_ ^I�� �,' ,� 0 <br /> . . - /i � <br />