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cveren APPLICATION FOR RIGHT•UF-WAY USE PERMIT � "; � �; � <br /> i � <br /> CITY ENGINEERS <br /> EVERETT, WqSHINGTON PERMIT N0.-7.��3/� <br /> The Undersigned�-{� � .� , /F ���i = ___ _ _ <br /> Hereby applies(or permission to_�-E-'Q_.'��i�L= , � <br /> - �V - �:�� -- A`_*'"�!'-.L'L=��iC/ <br /> At the following location � C<�� y `-��� i T7y h T, <br /> SKETCH <br /> IWork to be done) �1 1 <br /> nt P <br /> \�li <br /> > <br /> , ,����a� <br /> �� �� '� <br /> � <br /> ��� � ��Q. <br /> �e <br /> DRIVEwaY SECtiON Tha undersigned owner hereby agrees to hold and <br /> NO SC4LE save harmless the City of Everett from any and ail <br /> � �� claims for damages that may arise because of installa� <br /> I" LIP _�1 tion and maintenance of the improvement hereto ; <br /> �3p^ I �30.� applied for and turther agrees to remove same upon <br /> ��-T ---��-- noti o th .i nd ro re public property <br /> ere �p J <br /> �-�,.�� <br /> Si r of A nt <br /> �COPY OF THIS APPLICATION 10 Ad r� � ~��Y� <br /> E POSTED ON JOBSITE. � � �� % ; , <br /> I � �i Telep on N m � <br /> CA:L EtlGiNEERING DEPT. 259�8811 i - ,�j� �� , /_ �� <br /> � � ���• , <br /> . �24 NOURS F3EFOR[ CpNSTRUCT!ON�� Date i <br /> ._. ._.. .- ----- � Fee <br /> CHECK LIST <br /> ^ Water Valve <br /> Drainage i �ept. ApproVals � <br /> � <br /> Curb&Gutte: Enyineers <br /> Sidewalk <br /> —— Water <br /> S V eet <br /> - -- Communications <br /> Inspector'S Si9natum <br /> Traffic <br /> Plarning <br /> -bate — <br /> Remarks — <br /> ' <br /> � APP o�b�Y y / c <br /> -L�2"lL/��' -� '��'-- - <br /> .. -, ��- . Date App.oved /.h �� :� ��' 9 <br /> / �;� <br />