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..,_.__.__ .__._ _-- -------___. .. _ _ <br /> ��' APPLICATION FOR RIGHT-OF-WAY USE PERMIT � ��19 5 <br /> /� . everc�it <br /> � <br /> � /-,Y��.' � ..I � <br /> CITY ENGINEERS Ga <br /> EVERETT, WASHINGTON PERMITN0._ �C7" /ZQ <br /> The Undersigned f/�I G l�1 r') �J � <br /> Herebyapplizsforpermissionto C^NST�' UCf ' /� 7�5� f0�(/C/� GTF ��wi i <br /> At the follo�ving location L �� g �q.n c i � i� � R (��./' <br /> I <br /> i <br /> SKETCH <br /> (Work [o b^done) � <br /> � <br /> b <br /> � <br /> � <br /> b <br /> � <br /> [ <br /> � <br /> � <br /> . � <br /> � <br /> i <br /> • � <br /> � <br /> � <br /> � <br /> . / � <br /> G = r <br /> ,; � <br /> s���Y � <br /> � <br /> DRIVEWAY SEC710N The undersigned owner hereby agrees to hold and � <br /> � SCALE save harmless the Ciry of Everett from any end all . ( <br /> (�— --� claims for damages that may arise becausa of installa- I <br /> f \ ���� LID tion and maintenance of the improvement hereto <br /> I <br /> I 30"�_____ g0" I applied fo��d further agrees to romove same upon � <br /> I�-�-" � �—�1 noUce from the Ci�1'and�to/re tace ublic property <br /> damaged t�iereD�y! ���f :� �� I <br /> i <br /> �/�, �J�� . ' l,-� � <br /> � Signature of Applicant`- <br /> ._------ � ..,� ..J `� C?'�-) � <br /> ` �� > <br /> COPY OF THIS APPLICATION TO Address� . <br /> BE POSTED ON JOBSITE. '-''I//. %.S� <br /> Tcleph ne Number <br /> CALL EPiGINEERIMG DEPT. 25&8811 1� ;� _ i�,; <br /> 24 HOURS BEFORE CONSTRUCTION Date <br /> . CHECK UST F e i�~--'' I <br /> �Vater v�ive Dept. Approvals � <br /> Drainage '� <br /> Curb&Gutter Engineers i <br /> Si<lewalk <br /> Water <br /> Street I <br /> Inspecror's Signamre Cbmmunications , <br /> Traffic i <br /> . „ Planning <br /> �te <br /> I <br /> i <br /> Remarks 1119 5 I <br /> )f <br /> Approved by l <br /> CYa'POM[R Date Annr�vecl Y ;, , <br /> � <br />