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'S .��i APPLICATION FOR RIGHT-OF-WAY USE PERMI i <br /> evcreYr � �1 G 5 9 <br /> �' <br /> CITYeNGINEERS - �7/ <br /> EVERETT,WASHINGTON PERMIT NO. . .3SS <br /> The Undersigned �. .-� I:�%. F�. �J _ <br /> I�ereby applies for permission to ��nl��r�Z v� i� i�•J /�J � �;/-�?�r. ' ��1:�. _ _ � <br /> At the following loca[ion ��/'% U ,c� '.' !� !(-'iJiii vci i� (>�:� <br /> SKETCH <br /> (Wr.;. ro be done) - <br /> �c._ A;-r,-t�ia �v . <br />� <br /> � , <br /> I I <br /> � , <br /> � <br /> ,� <br /> DRIVEwAY SECTION The undersigned ewner hereby agrees?o hold ond �, <br /> '. NO SCALE save harmless the City of Everen From any and all ' <br /> �i r-- -"I claims for damages that may ari�e bec�use of im�talla� <br /> � I" LIP � tion and maintenance of the improvercien[hereto <br /> i <br /> applied for and further a9rees to remo��e same upon <br /> �, �..-3�--- - ---.�.30� notice from the City and to replace public properry <br /> �, dam ed iereh <br /> �G��__-�'� T.�Ff <br /> � Signaty e of Applica t L <br /> ' QC7 • ��t! 2�i��/ <br /> COPY OF TNIS APFLICATION TO I Address <br /> BE POSTED ON JOBSITE. 2 � Z ' S 3 G•� '�� _ , <br /> C/�.I.I F�uGtNEERING DEPT. 259-(381 I I,I Telephone Numb'er/ <br /> I Z; �ir'Ui;S BEFORt CONSTRUCTION'� Date <br /> F-� " /— � �_ <br /> i <br /> ' CHECK UST Fe�--�S �.- <br /> Water Valve D�pt. Appr vals <br /> Drainage � • / i� . <br /> Curb& Gutt.�r En9ineers 6. �-✓'� <br /> Sidewalk WatPr_ _ <br /> Street _ <br /> Communicat.:ms <br /> Inspector's Signature Trffic <br /> Plannir•g __ _ <br /> bate <br /> Remarks <br /> Note: Ori�inal to Custnmer <br /> , �oPY �o F��� 11059 —_— <br /> � 1 Copy to Inspeclor Approved by <br /> Date Approve�l <br />