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APPLICATIONFORRIGHT-OF-WAYUSEPERMIT �,1206 <br /> eYerett <br /> CITY ENGINEE S PERMIT N0. 7S — � I� <br /> EVERETT,WAShi GTON <br /> The Undersigned�!�/7/j< f S N1f7�,�_ <br /> Hereby applies for permission to �-DI`/�Tf.���<'T� r`'3 7�� � i=� +rP.<jLl ���1 <br /> At the followin�location 3 S D g P aa D'PF-'-- � lc� �f -_ - _ <br /> SKETCH <br /> �Work to be done) <br /> ��� <br /> s � <br /> ., <br /> � , =� <br /> , , <br /> � ,��: � <br /> �- <br /> ��, : <br /> DRIVEWAY SECTiON The undersigned owner hereby a9rees to hold and <br /> NO SCaLE save harmless the City of Evere[t from any and all <br /> , I+-- —`i claims for damages that may arise 6ecause of ins[alla• <br /> �" L�P tion and maintenance of the improvement here[o <br /> 3—� 3O applied for and further agrees [o remove same upon <br /> �__;�..___ -���,.I notice trom the City and to replace public properry <br /> damag'd thereby.. <br /> ��" ..�_1>, )'1 �'���.,� . <br /> ,_�-� <br /> Signamre of Appiicant � <br /> � <br /> 7-Go �>'- -t�•7 r'�Y L S c • :r.:�..- a- <br /> rCO�Y CF TH�S APPUCAIIOD! TO � Address e�u,Zc',� <br /> I 2[ POSTED OA1 J03SITE. j � ? - .� 'T L"L <br /> Tetephone Number <br /> � CALL E�IGINEERING DEPT. 259�8811 i <br /> �4 fIOURS E3EFORE CONSTRUCTION Date <br /> — — ---� <br /> CFI'cCK LIST Fee <br /> Waier Valve Dept. Approvals <br /> Draina9e <br /> Curh&Gutter Engineers <br /> Sidewalk Water <br /> Street <br /> CCmmun?cations ,_ <br /> Inspecror's Signature Traffic <br /> Plannin9 <br /> at� <br /> Remarks �� r� O C <br /> G �J <br /> Approved by <br /> eusTOMa,t Date Approved O <br />