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---r- - _ ._ . -- -- <br /> _ <br /> APPLICATION FOR RIGHT��F-WAY USE PERMIT 11219 <br /> � CVcrefl <br /> (� a,�n;�' ,�� � <br /> �� <br /> CI1Y ENGINEER PERMIT N0. 78— ��-Q <br /> EVERETT.WASHIrv TON <br /> The Undersigned ( �'���� ������-�"� — <br /> �r� ��I.•/ �S <br /> Hereby app�ies for permission to �- ^�cT�•r n � 7' ? � 2.5�� �o" '�' ^' � <br /> At fhe tollowing location G- �D 9 f� � �3 Sf Q IT�*�S t � J �'- <br /> -L - 2s' Conc ��w <br /> SKFTCH <br /> (Work to be donel <br /> Lof � �'✓P�.��/L�/�S <br /> P�GP/ � <br /> \ <br /> 1• ' <br /> � n�P �t x <br /> _ �_ <br /> .Z�,� - �� <br /> C�.,� Go..� <br /> s��� P�:sr dr;✓t' <br /> L <br /> y,la{�r 7O � �� <br /> . �� � � <br /> \ <br /> s�R�.i�s� /j�v< <br /> DRIVEWAY SECTION Tlle undersigned owner he�eby agrees to hold and <br /> NO SCALE save harmless the City ot Everett from any and all <br /> _—.—�I � / claims for damages that may arise because of installa• <br /> r��-- "�� tion and maintenance of the improvEment hereto <br /> � \ f I" LIP � applied for and further agrees to remove same upon <br /> I 30" notice from the Ciry and io replace putlic properry <br /> 30'�___—__—.1. dama5e thereby� �j� <br /> ����� � � � �� ��� ��'� ;7- <br /> � Signa-��¢any��C/ <br /> /7_7D�i ./I/�i_Z�} ��"_.�.�_ <br /> Address K'�K an " <br /> COPY OF THIS APPLICATION TO �'Z-��- 9_���/r 9So;i3 <br /> EE POSTED ON JOBSITE. Telephone Number �O <br /> CALL ENGINEERING DEPT. 259-8817 �� _L_��� <br /> 24 HOURS SEf-ORE CONSTRUCTIOfJJ �ate <br /> ---- _ Fee 2 c__ <br /> CHECK LIST <br /> Water Valve Dept. Approvals <br /> Drainage <br /> Cm�b&Gutter Engineers <br /> Sidewalk Water <br /> Street <br /> Communications <br /> Inspector's Si9natur^ TrafFic <br /> Planning <br /> -[�te--- <br /> Remarks �. 1219 <br /> Approved by <br /> Date Annroved � <br /> CU57'DMER , <br /> <T rii. <br /> Y <br />