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,�evcretl _ . <br />� <br />CITY ENGINEERS <br />EVERETT,WASHINGTON <br />APPLICATION FOR RIGHT�OF-WAY USE PER<<11l' <br />i fi.`�8Q <br />PERMIT NO._7 / <br />The Undersigned L � / �' J . _'% < � - - �'? 7i r <br />Nereby applies tor permission m << .`' �, „, � � ql" l� ./, �rr r � � n <br />C. /.._ tC • /)' 1ni . <br />At the tollawing <br />(Work to be done) <br />. _.. ..— � . . . � <br />- -- --- --,^'t"iI"'_m _�..-_- <br />, ... , -_-_.� I <br />, , lii i <br />� <br />��� <br />�.,; <br />DRIVEWAV SECTION <br />NO SCALE � <br />-- ,i <br />r -- _ � <br />�i" LIP <br />�30��.,_—�____ _ _ _ _ _�.'° -i <br />------ . ___ . - --- � �� <br />�: uPY DP TFf IS APPL'CATIOfJ TO <br />as[ POSTED ON JOBSITG I <br />..,�U_ ENGIN[ERING DEPT. 259-(3II11'' <br />.�, I�pUii:; iiCFORL CO�J4lRUCiICfJ� <br />CHECK LIST <br />Watar Valve <br />Drainage <br />Curb & Gu[ter <br />Sidewalk <br />InSp ctor'sSignature <br />RemarKs <br />Nnle: Oriyinal to Customer � �� �_ � � <br />1 CoPy lo File <br />i CoPV to In;prrloi' . <br />The undersigned owrer hereby agrees to bold and <br />save harmless the City of Everett trom any and all <br />claims for damages that may aiise because of installa- <br />tion and maintenance of the improvement hereto <br />applied tor and further agrees to remove same upon <br />netice from the City and to replace public pwperty <br />darnaged thereby. ` -�c' i , - � ' -� � <br />_1> - _ �-i-� —,.% / `___. <br />- _ —ti�, <br />Ignature of ppl�nt - � � - � <br />i _ -- <br />Address � ' <br />, i <br />Telephone Number <br />Oatc <br />n <br />Fee <br />Dept. Approvals <br />! �_ <br />Engincers_.�---rL%� •.� .� --- - - - <br />� Water:;. � /J . !.; -_ . <br />.- -- Se.nat . . / — . <br />Communications - <br />Tratfic��/ ^ JJJ!3� ��- <br />Planning-��� � �`_ i . <br />—! —__ <br />, . �.. , . � . . . <br />Approved hy <br />Uatc APP�uvi.:J <br />