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—�z -r__ <br /> 1 evcretl <br /> APPLICATION POR RIGHT-UF•'NAY USE PERMIT ' <br /> - � 10752 <br /> CITY ENGINEERS �� �� <br /> EVERETT, WASHINGTON PERMITNO. <br /> TheUndersigned �nF /� Z L �/C�f Go[' rf!" !` T��-�,2r��� <br /> Herebyappliesforpermissiontol`�erJSYP�G7 A �.C' Cn-[�•�.'�T� 17�w � S�Cr�L.r#-P� �fN�,i' S�w <br /> �i i.',��r i./!� f�</� Y_. h!T/::'G_" P.C'O rEo T 5/Tr <br /> At ihe following location .=0 0� t?.7;i,�i c ( � -n�•r ar 1 "-.i.,,:;-\ <br /> SKETCH <br /> (Work to be done) <br /> , <br /> ;�c.- /_' , "�1: , .,,i <br /> �F�F��IL� <br /> AUG 15 1977 � <br /> � <br /> UTIItTY DEP0.RTMEh7 I <br />: <br /> I <br /> DRrvEWAY SECTION The undersigned owner hereby agrees to hold and <br /> No SCALE save harmless tYr.City of Everett from any and aIi <br /> �� -- � — ----��" --� claims for damages that may arise because of installe� <br /> � +f' uP ___� tion and maintenance oi the improvemmt hereto <br /> , applied for and further agroes to remove same upon ` <br /> �30'+_ -�_ y3o' I no[ice from the Cih� and to reptace public property <br /> _... _._ _ ^I <br /> damaged reby. <br /> i ��� <br /> Si }at e oi Applicant—��� <br /> r <br /> � <br /> COPY OF THIS APPLICATION TO Address <br /> BE POSTED ON JOBSITE. <br /> CALL ENGIN[ERING DEPT. 259-8811 <br /> Telephone Number <br /> 24 HOURS BEFOR[ CONSTRUCTION Date <br /> CHECK UST Fee o �E <br /> Water Valve Dept. ApprOvals <br /> Drainage <br /> Curb&Gutrer Engineers <br /> Sidewalk <br /> Water_ <br /> Street <br /> • Communications_ <br /> Inspector's Signature Traffic <br /> Planning <br /> at-6-e— _ <br /> Rema,ics <br /> Note: Original m Customer — <br /> 1 Copy to File 10 7 5 2 <br /> 1 Copy to Inspector Approved by <br /> � . „ _. .� <br />