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. r-=-- <br />c�'crrtl <br />� <br />:ITI' CNG�NCEHS <br />VEReTT, WASt11NGTON <br />'lic Undersi9ned <br />Icreby app�ics to <br />APPLICATION FOR IiIGHT•OF•NIAY USE f'[::RMIT <br />1099� <br />/ <br />i/ ^! � <br />PERMIT N0. � � } �"� <br />\t thc tallowing Iocalicn_�. <br />KETCH <br />Work to be donc) <br />SEE ATiA�NEo <br />G'�!' ' �'� Go�s �^`/`��G-7`'' <br />.. ���/ ���'/s7l <br />% <br />DRIVEW4Y SECTION <br />NO SCaLE� <br />� -�7 <br />�I� UP / � <br />�JO" I 7 i 30' <br />.• _..r___ _--�.__'� <br />COPY OF TNIS APPLICATION TO I <br />BE POSTEG ON JOBSITE. <br />CALL ENGINEERING DEPT. 2598817 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK UST <br />wacer vawe <br />Drainage <br />Curb & Guner <br />$idewaik <br />In:�ectoi's Signature <br />-Date <br />Remarki <br />Note: Onginal tu Custnmer � <br />, �oPy �o F,�� 10 9 g 1 <br />1 Copy Io Insp^[lor <br />r�e <br />The undersigned owner here6y agrees to hold and <br />save liamless the City of Everett from uny and all <br />elaims for damages that may arise because of insta'la- <br />tion and maintenance of the improvement hereto <br />applied for and further a9rees to remove same upon <br />, aotice trcm t i an ro replace public properry <br />damaged d � y. <br />ignature of AFPI cant � <br />��Z �T ✓ � ^ • <br />Address /�r,���/(U !�//j �'j'gy7T__ <br />Tetephone Nou�n�._Yr�G <br />Dare <br />Fec /,� � �r , <br />� Dept. Approvats <br />Engineers <br />Watcr <br />Street <br />Cammunications <br />Planning-- <br />ApproveJ h�/ <br />Datc Appro�nl <br />