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-� - - ---- --.-._.._ ._._ .._._ _._ ._..._....._...----.__ _--��-- - �-- ...- - - -.. -- --- __ <br /> . -- -- � f <br /> � APPUCl17ION FOR R�GHT-0F '::.1Y USE PERb11T I <br /> � � 11U3 � <br /> � <br /> CITY ENGINEERS � <br /> EVERETT,WASIiINGTON . PERMIT N0. � � s � �� . <br /> 1Ne Undertigned ��� � <br /> i <br /> He�ehy applies for permissi�n to �N�'���/'T �� �-� , <br /> Atthlf011owir.11ocation �� _,Q�.ldl� D� . — � <br /> SKETCH ' <br /> (INork jo be done) <br /> . • . " sEE ATrAcfl�D � <br /> , ._ . <br /> , . . � <br /> . . O� f'o G^,�l,S7"lre� , ' <br /> . . ' e��/ %��,� � . ' ' , . � <br /> • - , . . '. • . . <br /> ; . . . . • . • • . ' • . ;� <br /> • . , _:, - • • <br /> pRIVEWAY SECTION The undersigned.o'wrer he:eby agrees to hold and � <br /> NO SCALE . . • fave hartnless the City of Everett from any and all , <br /> � , ---� . . � . daims tor damages th_:rt�ay arise beeaute of installa• <br /> rC +i�� � P � � tton md mainter.ance nf the improvement herem� <br /> �pplied for and furUrer agrees to remave same upon <br /> r30" I _I_30"_I �. . .notice from the Ci[y and to rep�ace public prooerty <br /> � � � damage iereb <br /> .��. . <br /> � ' � . . � i urc of Applicant <br /> • �/ � l�r,r�.s � <br /> COPY OF THIS APPUCATION TO ' , dress y��� <br /> BE POSTED ON JOBSITE.• - , , ' —�?'��� —1l�� <br /> , �(tlephone Number <br /> CALL ENG�NEERING DEPT. 259�8811 /�./f�_� _ <br /> 24 HOURS SEFORC CONSTRUCTION � . Date � . <br /> CNECK LIST • ' Fea 37 ,� <br /> Water Valve . • • . � ' � OACpt/.�pprovals <br /> Oraina!te ... , � � : 7 /l� . .� . <br /> Curb& Gutter ' . - � ' . . . Enpineers � - Cc:�✓ <br /> Sidewalk ' ' • � � ' ,' . . W�[er . .. <br /> Saeet <br /> • • • • Communiations <br /> Inspector'sSignature • • Tnffie <br /> ' %anninp . <br /> au � <br /> flemarkc • � <br /> Nole: 7rini�al to Customar <br /> 1 f'opy to F�la 11 �3� � • , <br /> � 1 Cop; to Inspector Approved 6y . <br /> • . . , MI� An�rn�ivl <br />