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everest APPLICATION FOR RI(3HT-OF-WAY USE PERMIT <br /> „ � 11343 <br /> CITY EYGYNF.ERS <br /> EVERETT, WASHINGTON PERMIT N0. 7f�- 7 7�-- <br /> , i'' <br /> The Undersigned_ / , � <br /> Herehy applies for parmission to_ '- . � � , j�_ � <br /> . . . . . . . _. . . . �. � .. � <br /> i, <br /> At the following Iwation <-- , �� � - �: D � <br /> I.„' <br /> SKETCH <br /> (Wurk Yo be done) <br /> DRIVEWAY SEC710N The undersigned owner hereby agrees[o hold and <br /> NO SCALE save harmless the City of Everett from any and all <br /> � � —� c�aims for damages that may arise because of installa- <br /> �� i I" LIP —� tion and maintenance of the improvemen[hereto <br /> 30" _ gp�� applied for and further agrees to remove same upon <br /> i�otice from the:;ity and to replace pu6lic property <br /> damaged jMgreby. <br /> -f��. . ..- ! ..> .. v. � <br /> `Sir�arrre o Applicant ' � � � <br /> ' �� "1� / <br /> r' .. ,� -�i,_ - �r� � <br /> COPY OF l'HIS APPLICATION TO Address . <br /> BE POSTED ON JOBSII E, l�- � �� ,.' . ., �P� <br /> CALL ENGINEERING DEPT. ZG9-8811 � TAlephone umber � <br /> 24 HOURS BEFORE CONSTRUCTIONI Date� ��� �/ �+ '� � <br /> — .,. - .-.> _'i.��•'7 . . <br /> CIfECK LIST Fee -- J - <br /> . Water Valve <br /> Drainaqe De��t. Approvals <br /> Curb&Gutter E�gineers - � <br /> Sidswalk <br /> Water <br /> Street <br /> Inspe ignature • — Communications <br /> Traffic <br /> ��j � /�7/��� L — ���G� Planning _ <br /> atD e--' _ <br /> Remarks -- � ��� <br /> 1 �. 343 - <br /> APProved by _ ��' -- <br /> l� :. i. J <br /> ��.. � . <br /> f l--:'�--•�.�J=1�� � (/=:-.-_ <br /> Date Approved � - Y <br /> INSPECTOR'S COPY ;i�,lti�_-�/�_'G�� <br /> -+�. <br />