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i APPLICATION �OR RIGHT-OF•WAY USE PERMIT <br /> everetl 10 8 9 9 <br /> . � � <br /> � CITY ENGINEERS �I <br /> �� EVERETT,WASHINGTOM PERMIT N0. 7� : ✓-Z I <br /> (-��`,g.-�oLL�N �4W��l� ' <br /> The Undersigned � <br /> ' Hereby applies for�ertnission to C�tSs�N�� �6Z��F� �� 2S� i¢tr,�i�/a/ �- _ � <br /> . Atthefollowinglocation �Yz��� f� ��7�/(� l-�.!<T .4'�.JY�f„� U�� I <br /> SKETCH � <br /> �� (Work to 6e done� <br /> S�E /-1%T RCrf'"f> <br /> � <br /> i <br /> I <br /> � I <br /> I ' <br /> i <br /> � I <br /> � I <br /> I � <br /> � i <br /> � <br /> I � <br /> � I � <br /> I <br /> I I <br /> I j <br /> i I <br /> I <br /> � �RIVEWAY SECTION The unriersigned owner here6y agrees to hold and <br /> , NG SCaLE save harmless the City oi Everett from any and all ' <br /> ' �— � claims tor damages that may arise because of installa� � <br /> i" LIP tion and maintenance of the improvement hereto i <br /> ' applied for and further agrees to remove same upon I <br /> i 30" —.__ —. _I_30" 1 <br /> -i- notice from th 'ty and t replace public property <br /> , damaged the b <br /> �, Sic�nawre of Applicant � i <br /> �_3o i �S r�. <br /> '�. CO°Y' OF THIb APPLICnTION 'i0 Address <br /> I BE POSTGD ON JOESITE. !`70.�/r%- a�<r' T'{i1,?r�. <br /> ' CALL ENGINEERING DEPT. 259�881 I � .. Telephone Number I <br /> '� 7�- ��!2�. <br /> 24 HOURS 6EFORE CONSTHUCTION� Dare :y � ,�� ) I <br /> ---_ _ _ _ _ _ I �Z � ,{7�XC <br /> � CHECK LIST Fee �� <br /> Water Valve Dept. AppfoVals � <br /> � Drainage � �,/��� i <br /> Curb&Gutter Engineers �/ ��-.- <br /> Sidewalk Water <br /> i <br /> Sveet i <br /> Communications � <br /> i Insnector's Sion�ture Traffic <br /> Planning <br /> i <br /> are <br /> Remarks <br /> Note: Original to Customcr ' <br /> 1 CopY to File 10 8 9 9 � <br /> 1 Copy m Inspector Approved by ' <br /> I <br /> Date Approved I <br /> ' ,.r .._ ._.-_ ._ <br />