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1 <br /> R°PUCATION FOH RIGHT•OF•19AY USE P[RMIT I <br /> '�=«��i 1097�1 ; <br /> + :� , � ! <br /> CIT:' ENGINEERS � � ?. j� I <br /> EVEREI?,�YASHINGTON PERMIT N0. <br /> TheUndcrsiqned���/� � L� Y�%�� C � r'/��'�nV�LU\ � <br /> Hercby applics lor permission ro�� � �''"1' - y � � �� ��SP.u��� l,�/ — I <br /> i <br /> At d a follovrin9location �J�-/ � T<�iZQ�'` n .� ' <br /> ' I <br /> . i <br /> SKETCH <br /> (Work[o be donc) ' ." . � <br /> SFF �t?rAGit_<o <br /> � , .� . . <br /> . `� � <br /> � DRIVEwAY SECTiOa . The undersigned owner hereby agrees to hold and <br /> NO SCALE� save hartnless the City of Everett from any and all � <br /> � � elaims for damages that may arise because of instalia� f <br /> tion and maintenance of the improvement hereto i <br /> I" LIP spplied'(or and further agreet to remove same upo� <br /> �„ 0" I _I_3o"_I � notice from t e Ciry and to replac pubi' property <br /> damaged er by. .. � <br /> � <br /> � ' Signatu o(App icanc <br /> . � O �c%f��.e ,.�— i <br /> COPY OF THIS APPLICATION TO Address <br /> 8[POSTED ON J06SI�iE. �S��//SS <br /> Telephone Number <br /> CALL ENGINEERING DGPT.259�8817 . � <br /> 24 NOURS �EFORE CONSTRUCTION Oate � - � <br /> CHECK UST Fee <br /> wacor valve ' DCpt. Approvals <br /> Drainage � . • <br /> Curb&Guncr �- . . Engincers <br /> Sidewalk ' � � , � � Water <br /> . Street <br /> . � Communications_ <br /> Inspector's Signature Trafiie <br /> . . . . Planning � <br /> ete <br /> Remarks <br /> Noro: Oriqinal to Cusrom^.r . <br /> , �o�Y «F,�� 7.0 9 7 7 ` <br /> 1 CoPy to hi�urctur APProved by I '. <br /> Datc App�ovcd . . � <br />