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� _1 evcretl APP�ICATION FOR RIGHT-OF-WAY USE PERMIT �13(h 9 ' <br /> J � <br /> CITY ENGINEELS <br /> EVERET'�, WASHINGTON <br /> { PERMIT N0._7B " 2S 6 <br /> The Undersigned �"�[_,�i j � `��v/� ' ^r- / Q�Ti� ' <br /> � � �� C . <br /> Hereby applies for permission to - � <br /> i2 �j <br /> � G � - - U <br /> At the following location_ �—� 03 2.i � / <br /> A-r>! � <br /> SKETCH <br /> (Work to be done� <br /> V �C <br /> \� <br /> � Q �.�r <br /> �, <br /> �� � <br /> ,,,,N� . <br /> OK � -� `� <br /> � � � � <br /> DRIVEWAY SECTION ( <br /> , NO ScaLE The undersigned owner hereby agrees to hold and �. <br /> r--- �..1 save harmless the City of Everett from any and all <br /> � claims far damages that may arise because oi installa- <br /> P' LIV tion and maintenance of the improvement hereto <br /> �--1--- I 30" � appiied for and further agrees to remova same upon < <br /> notice from the City an �p��P� � p <br /> d�ed thereby, �� <br /> • (9•�� .o // . � ,� %"'� F <br /> Signature oJf Ap icant � �-�� <br /> C� OPY OF THIS APPLICATION TO '—'�`--'�` ���� �'' � �� � �� � � <br /> BE POSTED OV JOBSITE. AdAres� s : <br /> Z�� .l 7��_� ° ��--a <br /> CALL ENGINEERING DEPT. 259-8811 Telephone�f lur�2��1� <br /> 24 HOURS 6EFORE CONSTRUCTION `�� � " <br /> Date � � . <br /> � CHi?CK LIST � � <br /> Water Valve Fee , <br /> . Drzinage . <br /> Curb&,^,utter Dept. Approvals <br /> Sidewalk Engineers <br /> Wa[er <br /> Stree[ -- —' <br /> �^SP� oture . Communications ' . <br /> Traffic <br /> at-6—��_. � Planning ; <br /> ---------�__. .. <br /> Remarks —�_ <br /> 11349 <br /> Approved by ' <br /> . . � . CYfiOMiR �... DateAPP�oved �� � <br /> - . i. . ...Q.�... .., <br /> -�►., <br />