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� APPLICATIOPJ FOR RIGHT-0E-WAY USE PERMIT 112 7 8 <br /> evereH ' <br /> � e <br /> GTY ENGINEERS �—/ ��p <br /> EVERETT,WASHINGTON PERMIT NO.Z: <br /> TheUndcrsigned �irU A'F✓u��fl Wr-'.--� �rr soi: /S�� Rf7��PT-�r �N,n:cH _ <br /> Hercby applies for pertnission to 1�L r-3c'G !i�'�T YA �'"/ST r NvITr'f! �^£��yr�G•�,•*�f/o!i...S/G h/= <br /> I hra_�• � � Lv�/.1 i ni o i TPoi.a.' . <br /> At the fotlowing Iocation '�r r ✓"'is� ✓<:=,� UFZY't U t/ S �.��('c� I0�(, S <br /> SKETCH <br /> (Work to be done) <br /> $;: r: -a_- ..". <br /> � <br /> ��,' �\`� .�a� <br /> � I�;�� <br /> �� <br /> ORIVEWAY SECTION The undersigned owner hereby agrees to hold and <br /> ND SLAIE save harmless the City ot Everett from any and all <br /> f.---- �� claims for damages that may arise because of installa- <br /> I�� LIP tion anA maintenance of the improvement hereto <br /> applied for urther agre o remove same upon <br /> 30'�_ ___�.3� no c f m the Ciry and o rep ace public property <br /> d d ther by. � � <br /> ' Signpture icant <br /> I b �G� a c ��� c �Fl cs r d��nwtct� <br /> � COPY OF THIS APPUCATION TO I A dress <br /> BE POST[D ON JOBSITE. 2� y _ q � � � <br /> Telephone Number <br /> CAL� ENGINEERINGDEPT. 259�8611 � -Jiln� 2B� I�R <br /> 24 HOURS BEFORE CONSTRUCTION Date <br /> CHECK LIST Fee iti/o F�Y�� <br /> Water Valve ept. Approvals <br /> Drainage <br /> Curb&Gutter Engineers — <br /> Sidewalk Water <br /> Street <br /> Communications _ <br /> Inspector's SignaNre Trattic <br /> Planning __ <br /> a�n <br /> Remarks �I -�q <br /> 11G 1 U <br /> Approved by <br /> Cus7otar.r. Date ApP�oved . � <br />