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� . _ <br /> ,�� APPLICA710N FOR RIGHT•OFWAY USE PERMIT. <br /> cvrrcn , 10 9 8 5 <br /> , . � , . _ . <br /> L�ITYENGIt�EERS PERMII'N0. 7� + — <br /> EVERETT,WASHINGTON <br /> � ° �^/�tl/ � � �^M�t — <br /> The Undersigned /N�'" �--� <br /> r/ �1c in.�^-' <br /> Herebyapplicstorpermissionto/'��/4'>F'v�"�T� � �-' �'� -� `� <br /> / „--i , �l��h`'T <br /> At the following location�p O'Y�. ..l <br /> SKE'iCH � <br /> (Work to be done) <br /> s�,� A'�`TA��'t'-�O <br /> ��� <br /> `` . <br /> � . <br /> � DRIVEWAY SECTION The undersigned owner here6y agrces to hold and <br /> NO SCAIE � save harmless the City of Everett irom any and all <br /> .� _.--.� tlaims for damages that may arise because of installa� <br /> tion and maintenancc of the improvement hereto <br /> i" Uv � applied for and turther a9rees to remave same upon <br /> �p., � _ _ I 30� notice fiom the Ci.ry and to rcp�ace pub�ic properly <br /> =�1� 't' ama�� U,gf / U L� • /�/ ✓ <br /> jf� c;- . / <br /> �! <br /> �. ..� ti9 � � /iL <br /> �ture o plic,�n <br /> � �� �t(t„fLf(i L�il1 � <br /> COPY OF THIS APPLICATION TO � ddress ` a� <br /> � 'S t�J'� a �CC <br /> BE POSTED ON JOBSITE. Telepho Nufr�bcr <br /> CALI ENGIWEEflING DEPT.259�8f311 l ��7 <br /> 24 HOURS BEFORE CONSTRUCTION <br /> Uate � <br /> CHECK LIST . �eQ ��Z �� <br /> Water Valve ' � Dept. App*Ovals <br /> Drainagc � Enginnus����I���/��,�-�� — <br /> Curb&Guttcr �" " . , <br /> Sidewalk � .- Water — <br /> • ' Street <br /> � . Communications <br /> In�pector's Siqnature , Traffic -- <br /> Planninp <br /> �� <br /> Remarks <br /> Nou: OriBinal to Customer 10 9 8 5 <br /> 1 CopY to Filc Apprmcd by <br /> 1 CopY to Inspector <br /> Dete Aoorored <br />