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,�: , <br />�. . i � _ <br />�� �}'� � <br />i <br />� ''=���;�'�i:'ie �',,, �� �, � � <br />=d7.E'�n:: ,�i-,�3�. <br />� <br />''y',�o 1:;,i. ' �'' <br />� <br />n <br />t' I� <br />� <br />.--, <br />I everett <br />. <br />CITY ENGINEERS <br />EVERETT.WASHINGTON <br />The Undersi9ned ��r . <br />Hareby applies for permission to � <br />A[ thc following <br />SKETCH <br />(Work to be done) <br />AFPLICATION FOR RIGHT-OF•WAY USE PERMIT 1 i. 3 7 O <br />, <br />f� ���,,, �1N� <br />•� ��a , 2.. <br />�,` ��2� �� �,��o , <br />� � ��r '�%� <br />� � <br />,�\���' <br />� <br />�/`— 7� �'�1Yi S �� <br />�`�� /n -ii— 7� <br />DRIVEWAY SECTION <br />, NO SCALE---�.��J <br />�'-- I <br />I" LIP <br />�0'��_ I 30" � <br />COPY OF THIS APPLICATION TC <br />BE POSTED ON JOBSITE. <br />CALL ENGIN�ERING DEPT.25g8877 <br />24 FIOURS BEFORE COPISTRUCTION <br />CHECK LIST <br />Water Valve <br />Drainape <br />Curb & Gutter <br />Sidewalk <br />Inspecior's Signature <br />Rema k= <br />11370 <br />PERMIT N0. 78'�Z %(J <br />l� <br />The undersigned owner hereby agrees to hold and <br />save harmless the City of Everett from any and all <br />claims for damages that may arise because of installa• <br />tio� and maintenance of the improvement hercto <br />applied for a�d further agrees to remove same upen <br />notice fr9m the Ciry and to replpee,ou6lie nr���r.. <br />—/ /�4-.'�..c9�- � \ �,.A ,2 // - ' <br />S�gna[ure of Applicant �� <br />� 0 38 2� t� /�� �f � i <br />Address <br />_,�7 -GG—i �� i <br />Teleph9�e Numbe� v ; <br />/ � <br />__ �l— 5'�— 7 � <br />Date <br />Fce --- <br />Dept. Approvals <br />Engineers <br />Water <br />Street <br />Communications�_ ' <br />Traffic <br />Planning_ . <br />Approved by <br />CUfTOM:R Date A <br />PProved <br />R <br />i, <br />