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� • everen APPLICATION FOR RIGHT-OFWAY USE PERMIT <br /> ;. � i.1�49 _. <br /> • • CITY ENGINEERS <br /> EVERETT,WASHINGTON PERMITNO. 7F - "t ti G� <br /> TheUndersigned �=/Er:;tiJ<-� �( /� � ��,�-, - � r->> c � ��� <br /> Herebyappliesforpermissionto r' r--�. ., ��. ;��;3 �j �.- ' � / . <br /> t-" - i�,.irr-•�'� !L ( 1 <br /> � <br /> At the following Ixation . / (; �� -Z ?r. .� � <br /> r ? .. : ,F C`. <br /> SKETCH -- <br /> (Work to be done) <br /> st'� , <br /> �. <br /> DRIVEWAv SECTION The undersigned owner hereby agrees to hold and <br /> ,F. NO SCALE save harmless the City of Everett from any and all <br /> I --- � claims for damages that may arise because of installa- <br /> 1�" LIP �� tion and maintenance of the improvement hereto <br /> �30" I 30" I applied for and further agrees to remove same upon <br /> -- ---T���-� notice from the Ciry andyo,replace pub ic p 6plr�y � . <br /> d�a �°,�ed thereby. ��/[�' l �I��Ly��' ��/�� <br /> t�.�'_'rL� ,// c✓�f"'� / �-�-��Lt t . <br /> Signature of App ca t <br /> a �1 j�.�,f / / /'Qs �- � .� <br /> COPY OF THIS A?PLICATION TO '4d fe�- «.r'.iJl� -7�; { <br /> BE POSTED ON JOBSITE. .� � � �;, �'-�7./� � Y,,.�_} S'G' ��- <br /> CALL ENGINEERiNG DEPT. 25&8811 Telep one umber . ^ � . <br /> . �/Jri' %7� - .. ;' ; <br /> 24 HOURS BEFORE CONSTRUC7�QN Date� T <br /> CHECK LIST Fee <br /> Water Valve � <br /> Drainage Dept. ApproVels <br /> Curb&Gutter Engineers <br /> Sidewalk <br /> Watar <br /> � 1 � . Street <br /> --�;7����-- Communications <br /> Inr sSi nature � <br /> Treffic <br /> 6 ` �'�7Q '� - � . '7 Planning <br /> at-6 e-1� ( . <br /> /'�U �=XDNa/S�nti/ �'v�,vT rV-,- <br /> Remarks �p� ��7 � L�N� <br /> 11349 <br /> r <br /> APProved by. �^ L��•J _...1� <br /> —��>> ,��%rllk?I �/� <br /> INSPE�'TOR'S COPY Date Approved �+-^. �%_., ,`�..��„ Y <br /> � . �/r'Z.l �...5� � �.r�') <br /> �. <br />