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APPLICATION FOR RIGHT-OF•WAY USE PERMIT ��644 <br />everett � <br />E' -���� =� <br />CITY ENGINEERS .-�� , � ' <br />EVERETT, WASHINGTON PERMIT NO. � �%< �' ' <br />The Undersigned ' - � � - � - � " � � � �- - ' ' �-� -"� <br />HerebY applies for permission to --�.a.= ' ,.......':_.:-..-+-,<-�- ,: . � -. .. *.Y�"�i�':'a/.' -: A,-.7;�.�..: .'-" <br />1worK to ce aone� � � `, � . . . <br />.._ Gp'� - +- <br />�- -il.,'S7 !T2 .I <br />i . :-: T/t�Jl� i ('ry.Ylilfl <br />I � <br />� <br />�F,��;�iM� <br />/ , . � .. , � . ,-. � . . . -) <br />... - --1 � � �'\ �\ .�� � �� �� - � <br />. <br />i__ — <br />_ � <br />i�'G.,- /N- __ _��o .. <br />� 6.rH�� s�.,��� � <br />r-- ------- —� <br />-,. , <br />;, ,: <br />,.:. . � : v <br />- — --._—�_:�_--- -- — ,.--- -- - --- ---- -, <br />_ _ r <br />DRIVEWQY SECTION <br />NO SCALE <br />� --� �� <br />� I'� Llr / � <br />30'�_._ --_ _ --.4.3� <br />COPY OF THIS APPLICATION TO <br />GE POSTED ON JOBSITE. <br />CAL!_ ENGINEERING DEPT. 259�8811 <br />24 HOURS ftEFORE CONSTRUCI"ION <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />Inspecto Si ature <br />�� � �����s • J <br />Remarks <br />,- �� I <br />L,;:':� ;%:�._.n rt./�-r , ; �aa <br />The undersi3ned owner hereb'/ agrees to hold an� <br />save ha�mleu the City of Everett from any and �II <br />claims for damages thet may arise because of installa- <br />Uon and maintena�ce cf ttie improvement hereto <br />applied for and turther ayrees 10 remove same upon <br />notice from theCity and to replace public propeity <br />damaged thereby. .. . <br />Signature�ot App icant . � � <br />�' . '-17 i. � <br />Addre'ss - <br />Telephone Number � ' ' <br />Date' <br />Dept. Approvals <br />Engineers <br />Communic <br />Trafiic_ <br />Ji�nr- �"_(.:. .� . � i L_! :r ).�.�.; <br />'� , � : l Y, • -� r JEs.. � <br />�:'''1' �v____ �—i � f� . ., r YcB' -- <br />.._G`_ ',� _ _ <br />