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__ ,-. . <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> everetl 1��7 0 <br /> e <br /> CITY ENGINEERS % � �j� � "' <br /> EVERETT,WASHINGTON PERMIT NO. ��_- � <br /> The Undersigned /�/_/ .�1 F. � ! ' +' - ,� � �-'� <br /> HerebV aPPlies for permission to �AN<TiF'��c. r '� : / � �i�i'w' '�' "" ` 2��i � - �A ^ � %� ���=r J✓��-- <br /> � 7�� ��� 1 �� � ��� 'w a�r� �i' � / � ' ! ' '� 3�1i � r "� -F c�ni� c� n,.i r��i./% ,?T � <br /> �i � - <br /> At the following location +2-�j..�-L= ���'^i r� = , <br /> " .� .7 .�r, F�'„ . . <br /> :. � <br /> SKETCH <br /> (Work to be done) <br /> ��.�:' �� ,-7�=�CHc/� <br /> No�F . <br /> ,��.�_��s �.�,« �a�s� r:c ;°a���> <br /> � f�� ���„� ��s , N�. <br /> � <br /> � �DRIVEWAY SECTION The undersigned owner hereby agrees to hold and ' <br /> � NO SCALE save harmless Ihe City of Everett from any and all <br /> �— -----� claims for damages that may arise becaude oi installa- <br /> tion and maintenance oi the improvement hereto <br /> f' LiP applied for and further agrees to remove same upon <br /> 30';,�__.______-.+.30�..I notice from the City and to replace/public property - <br /> damaged there ���s.l� <br /> OF-NiY>'S C . <br /> � Signa[ure A�plicant <br /> , �� is.�,� G o.� <br /> i------ -- -- --- �— �, Address � . <br /> � �:OPY OF THIS APPUCATIOiJ TO il <br /> i UE POST[D ON JOBSITE. � /�tlBs'O.O /A//r' `�nG 37 <br /> Telephone Number <br /> �:.1LLCPdGI'JFERINGDGPT. 25�J-8871 '. 7/lj- �J/_ .�/s Z <br /> � ?4 IIOURS L'FFORC= CO�JSTRUCTIO�� Date ' <br /> -/G - 7 -7 <br /> CHECKLIST Fee ' -��' ,� ��(�I�� <br /> Water Valve Dept. pproval5 �� <br /> Drainage -� <br /> Curb&Gutter Engineers� <br /> Sidewalk Water <br /> . �'� , Street <br /> ! Communications <br /> Inspector'sSignature `�— Traific <br /> �� . , <br /> , �; P�anning <br /> ate <br /> i <br /> Rema7ks � <br /> Note: Original to Customer � 1 �7 0 <br /> 1 CopY to File Approved by <br /> 1 Copy to Inspecto� <br /> Datc Approved <br />