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-�- -, ---., ,. .. . <br /> r . ,� ,....-----.__ __„ ,;• . .. . .I <br /> . � ._ -- <br /> everetl <br /> APPIICqTION FOR RIGHT•pF•W�Y USE PERMiT � <br /> � 11011 - - <br /> _ _ _ ,, <br /> CITY ENGINEE75 <br /> EVERETT,WASHINGTON .., <br /> PERMITNO. ��0,�_ <br /> TheUndersiqned��/7Ni�J un,r�� � <br /> Hereby aPPlies for permicsion to �1] ^ 'ST'�! J /� � <br /> ��� n �s ,•��cs�A�7- j�/ i <br /> At the foL'owinq location S/_2o c.T f;. ��–T— � <br /> SKETCH <br /> (Work to be done� � <br /> SE,c A i•'�^F/�Sv <br /> e <br /> O� <br /> � � <br /> ' �� <br /> i <br /> � { <br /> �. DRiVEWAY SECTiON The unders�nned owner hereby agrees ro hdd and <br /> r, NO SCALE tave hBrmless thc Ci[y of Everett from any and all <br /> --_—_ � elaims tor damage;that may arise because of instafla•.� <br /> f� ��P tion and maintenance of the improvement hereto � <br /> ��.—� _ I 30" I applied for anA forther a9rees to mmove same upon <br /> �1� �� notice from the City and to repiace public property <br /> � . ' d/am��ag_ed� t�hcreby. -/ <br /> � "�'�Cr�[�S'J�,,.1�_,«G /� � <br /> SiBnature of Applicant <br /> COPY OF THIS APPLICATION TO p� �"` �� 7 F ��c3 <br /> BE POSTED ON JOBSITE. Address <br /> CALL ENGINEERING DEPT. 25&8811 ���� <br /> Telephone Number <br /> 24 HQURS BEFORE CONSTRUCTION ���7� <br /> -- Date <br /> CHECK UST <br /> Water Valve � Fee -------- <br /> �- Drainage , <br /> Dept Ap�rovals <br /> Curb&Gutter � <br /> Sidew�ik E�gineers <br /> Water � <br /> Street <br /> InapectoYs SiBnatura -- - . Communications r <br /> Traf f ie <br /> Planninq_ <br /> ste <br /> r <br /> Remuki ' <br /> Note: Oripinal to Customer � <br /> 1 Copy to File 11 O 1 �f �� <br /> 1 Copy to Ins{iecror 1 11 <br /> APWoved bY „ <br />