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�' - <br /> evcrrn <br /> APPUCATION FOH RJ�HT-OF-LNAY USE PERMIT ` �'"�� <br /> � 10981 <br /> CITY F:NGtNBf.FtS � <br /> CVERETT, VJASHINGTON PERh11T NC._'�_,L__�'� � <br /> Thc Uodcr:i�ned��),1/_3..[•�� L 1/rl.7 <br /> --- <br /> Here6yappiresforpermissiontn i�;1y,�•.�.^z�r —� .1 -. r�� L .-����. � �� <br /> . ....._ � . , <br /> __.. _._..""' s_.21:L_.�___.___�/_�'�iL../�� <br /> _�.___��._.�._�_� _�_ / __`__"__ <br /> At ihe following location 1�T/.i --_1=i'✓';�L��}1,��'_j_,_;; -...__ ----- <br /> SKETCH ------___...—_ ------ - ------ <br /> (4Vork lo bc dunr.) <br /> � r"tC � .....y-�1 _� i.,� '.:� <br /> �� 7'`'� G..d79t/�uc� <br /> i� � / �0�/ �� <br /> DR�VEwar SEC710N Thr undcrsi9ned nwner heraby ngrr.es m hold m�d <br /> NO SC,n�E save harmlau the City of Everett from any and all <br /> � � -� claimt tor dnma9es that may ariso ber.ause of installa• <br /> L' liP;� Gon and maintenance of tha improvement hcreto <br /> I jp�� j' —�--_�3�,1 I opplicd for and furthcr agrecs to remove mme upnn <br /> �� ' ' •"I noticr. Irom iho City and m replace puli� ,�roperty <br /> damayc�hcrr.by. /'� / ` <br /> /�// / //� <br /> fJ�.�G'-7'L.�K-"-- �.Lii� t.�_.f.�._ <br /> Sign,,;urc of Applican�t/. T <br /> � COPY OF THIS APPLICATION TO A���������5���� <br /> I 8E POSTED ON JOBSITE. ._$��_��S <br /> Tcleph �e Numbcr <br /> CALL ENGINGEFING DEPT. 2598811 Lj ,7 <br /> 24 NOURS IiEFORE CONSTRUCTION Datc r �` ��' ---- ` '---- <br /> CHECK LIST <br /> � Water Valvc Fec %r?.� � <br /> �. Dreinage � Dept. ApprOvab <br /> i Curb&Gutter � � <br /> Sidewalk Engincers_ ti� �� .- ! '�.�1.... <br /> Water <br /> StreM__ <br /> Inspector's Signat�te Communications <br /> Tralfic <br /> Pianning j <br /> �te <br /> Remarks — <br /> Note: Oriyinal to Customer <br /> 1 CopY to File ��s U 9 .. — - . <br /> __1 Copy to Inspector C�' Approveu by <br /> . .. � -•- �- �--`----_.. _ _ �. <br />