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APPLICATION FOR ":GHT-OF-WAY USE PERMIT � ,,�,Z O 4 <br /> P�eretl <br /> .. • � <br /> • CITY ENGINEERS <br /> EVERETT,WASHINGTON PERMIT NO. 7 g '— � U�_ <br /> The Undersigned 141Z f f!�J 'R ��. F( F_S_.1 o R <br /> Hereby applies for permission to d S7 � � � T- � /' + G .' 9 7 •=' <br /> At the following location � `1 6 7 2� '�� �, �F W <br /> SKETCH <br /> (Work to be done) <br /> . <br /> ��,C Al l.. <br /> L�r Z �I �Q <br /> ���rr <br /> �" '_� �QpIC��I.� <<7 <br /> 1� � `� � : � � t,� <br /> � <br /> 0 <br /> � - <br /> w <br /> J. <br /> .., <br /> .� <br /> �. , <br /> % �,� ���. <br /> CC I <br /> Q � <br /> .� RC.`�1' '� ��' � <br /> � <br /> 3� ' \' <br /> � Y <br /> i +� <br /> �'n +� <br /> �! � 4� �b <br /> ORIVEWAY SECTInry \ �'� � e undersigned owner fierety agre^s to hold and <br /> YO SCALE l save harmless the City of Everett from any and a�l <br /> �--- �� 1�j claims for damages that may arise because of installa• <br /> +I LIP � J tion and maintenance of the improvem?nt t�ereto <br /> �—� � applied for and further agrces to remeve samaupon <br /> 30' 30' notice from the City and to replace public properry - <br /> �-------------� <br /> � damaged hereby, /; � <br /> � '� � �t" 7,�> �-- a <br /> ignatureofAppl� fcant r ��,;,d,� <br /> f__— S f� � <br /> � COPY CF THIS APPLICATIOAI TO Address, <br /> I Qc POSTED OV JOBSITE. 1 �2 (G� �:�ti <br /> Telephone Number <br /> � CALL ENGINEERIMG OEPT. 25 �8871 � _ � „ J� <br /> j 2•3 HOURS c3EFORE COiJSTRUCTION Date <br /> CHECK LIST Fee �1 S� <br /> Water valve Dept. Approvals <br /> Drainage <br /> Curb&Gutter Engineers <br /> Siclewalk <br /> Water <br /> Street <br /> COmmunications <br /> lnspector's Signature T�affic <br /> Planning <br /> a[e <br /> Remarks 112 0 � <br /> Approved by <br /> CUf7OMLl Date Approved 0 <br />