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. � ' APPLICATION FOR RIGHT•OF-WAY USE PERMIT 1�.2�.3 <br /> l4crcit <br /> . � <br /> CITY ENGINEERS <br /> EVERETT,WASHINGTON PERMIT N0. 7a— IZ Z <br /> The Undersigned_(Z� / � t#S n i c�� �r <br /> Hereby applies for permission to�.� �•i^r,: �� �- '� � �_^ / :9. . . ' ��� � <br /> � <br /> At thc following location_ !� G � �J /�q r ��n S �i7 ` <br /> �d � �`tcl ' Con _. <br /> SKETCH — <br /> (Work to he donc) <br /> Lc.c n,u„�J ? , <br /> �'�--�iJ �;�!.� L.hf-f.�..''—..� <br /> - �'� — <br /> �. � -�, <br /> '`��--�,d _ <br /> :v� <br /> , <br /> �- L� <br /> � 's�"�`-��r - <br /> J - <br /> � ��� �� . 1 <br /> • T�---- -- f <br /> ' . <br /> �G'��.'j I�. <br /> DRIVEWAY SECTION The undersigned owner hereby agrees to hold and <br /> � NO SCALE save h,rmless the City of Everett from any and all <br /> � claims for damages that may arise because of installa• <br /> i�" LiP � �� tion and ma' tenance of the improvement ere o <br /> 30" I I 30" I � applied for d fur r agree:t rem �t� m on <br /> �� ---'�'�---'� notice fro the and [o re e p e��y <br /> damage he <br /> . <br /> Sign , re o plican[ � <br /> fCOPY 0� THIS APPLICATION TO � Address . <br /> CE POSTED ON .IOBSITE. ' �L��,r� ���J, <br /> CALL ENGINEERING D�PT. 25'J�6611 Tel� hone Nl�be�� � <br /> 24 HOURS BEFORE CONSTRUCTION Date � <br /> CHECK IIST <br /> Wator Valve F�e �C " <br /> Draina�e �: Dept. Approvals <br /> Curb&Gutter i (�� ' <br /> Sidewalk r � `� ;�y �9 Engineers_ <br /> LYater <br /> Stmet <br /> Inspec[or'sSigna[ure "— COmmunicatians <br /> Traffic <br /> Planning <br /> �te <br /> Remarks <br /> 1�y�;oop �.�.7�.3 <br /> b�0 � Approvedby <br /> P` CUSTOMHIt Date ApProved 0 <br />