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, _. . .__ . ` 1��GU ..,.:. . <br /> _ . .._ ..._ . _. . <br /> APPLICATION FOR RIGHT OF SVAY USE F'ERh11T <br /> everetl • � � <br /> � <br /> CIiY GNGINEERS � <br /> EVERETT,LVASHINGTON � � • PERhM1IT�1. �Q�9/ <br /> The Unde.rsigned���T/� ���'/ '"� �`�",�C/ � / .�. \ -- <br /> Hereby applies for permission to � �� � ��1J�a �—/ ` >r � � � U� ��'2 <br /> / <br /> At the (ollowing location 3�L� 3 . � �y�� � <br /> SKETCH <br /> (�Voik to be done) <br /> M�'If�.L'7t, <br /> /o// rl <br /> -� �:; <br /> �� ��> . � � -- �- � - <br /> ��, • - ,� <br /> i�r _ <br /> � U / <br /> DRIVEWAY SECTION The undersigncd owner hereby ayrees to hold and <br /> NO SCALE save harmiess the City of Everett from any and ,II <br /> � ---1 claims for damages that may arise because of installa• <br /> � ' L1P tion and mainrenance of the improvcmenl hcreto <br /> applied f�r and further ayrees to removc same upon <br /> I 30" i _ r___.._ . .._ __ �3�'� notice/from the Ciry and to replace public properry <br /> ��� da�,�ed thereby. ' ��'_ ,( <br /> 1/ '�-n'v\ <br /> 5:9����"I �n PP'.Sa"�7�f�'t� �� GJt rP� G�• <br /> ... ---� ---- - - ------- - — --- Address r/ ' <br /> � COPY OF THIS APPLICATION TO � �6 - �b p�-Fj' <br /> � E>E POSTED 0� JOBSITE. TelephQne Number �/ <br /> �� CALI ENGIN_ERING DEPT.259-6811 C�C"'f' • �-^ • �� " <br /> I 7a HOURS BEFORE CONSTRUCTION Date ' <br /> �------ <br /> CHECK LIST Fee <br /> elater Valve Dept. Approvals <br /> Draina9e <br /> Curb&Gutter Engineers <br /> Sidewalk 1Yaler <br /> Street <br /> Communications <br /> _. - - --- - -- - -- ---_ <br /> Impci'.tor';Si�;n:i!urc TrafflC <br /> Planning �- <br /> Gate <br /> ficmarkz , q q /� o 0 <br /> 1.L'•t <br /> APProved by <br /> CUSTOtAafe Date Approved p <br />