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� � <br />everett <br />� <br />CITY ENGINEERS <br />EVEAETT.WASHINGTON <br />P,;,'��.ICATION FOR RIGHT-OF-WAY USE"'�RMIT ��.2'Z. j <br />PERMIT NO. 7 8 � � <br />The Undersigned _ G? � /� �.� � d � �O �i:., s F� �� — <br />Hereby applies for permission to �' �'J�+5T2 �c-i /�- 3CJ � A-b��J� / r �.72 �(�Y' K/•� / <br />At the following locatioo �00 7 6. �{���+.(l t..i:�� - �/S� ' A1ort: N G/= L'lu%�^�$�c?�d.o <br />E?F 7'1 ,a �l 4�. r�:�D•s.Otcia.a <br />SKETCH � � f� <br />(VJork to be done) i �J'� 30 � qP�,�p.2c�+ <br />i � <br />� DRIVEWAY SECTION <br />{� NO SCALE —»{ <br />I ---_—�7 I <br />il" LIP / � <br />iI I <br />r=��•-t�__—, _I_30"_� <br />i COPY OF THIS APPLICATION TO I <br />�3E POSTED ON JOBSITE. � <br />CALL ENGINEERING DEPT.259�8817 I <br />�?4 HOURS BEFORE CONSTRLCTION <br />CHECK LIST <br />Wa•er Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />Incpector's Signature <br />�� , <br />Remarks r, •. <br />�.:i2 :�5 <br />� � �, p n� 1� C�, �-( <br />� <br />The undersigned owner hereby agrees to hold and <br />���� save harmless the City of Everett from any and all <br />claims for dama9es [hat may arise because of installa� <br />tion and maintenance of the improvement herero <br />applied for and further agrees to remove same upon <br />n ce from the City and to repla e public property <br />� amaged ihereb� � , J <br />�J`l ( . 1� � siCi <br />Sigr [ure of Applicant <br />�=2/Ci �'dh zG:t2.�%> �'�7 <br />a,dare�5 <br />3�5`.f — ? 7d Z� <br />Telephone Number <br />cS=/lo � 7S- <br />Date <br />,..., n�n,,;:,r: <br />Deot. Aoorovals <br />