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APPLICATION FOR RIGHT-OF•WAY USE PERMIT <br /> �� .. everett �� �� 1 1 ��O <br /> . � 11 <br /> i � <br /> ' CITY ENGINEERS <br /> EVERETT,WASHINGTON PERMIT NO. 7� " Z. 5`r <br /> , , <br /> TheUndersigned C.-; F= �_ir; • - � c_['����.�- � .i��.v.,-:r R�i - <br /> Hereb a liesfor ermissionto �"--�=->:��J" ,'- ' ' ' �" L''"-, <br /> Y PP P 'ir_ !, � ._ -� .�'c.!-�'.r_�� !i /Ll <br /> At the following location i� � �-' Y� L % r� ,'ti� �.)�� � ':� <br /> SKETCH <br /> (Work to be done) <br /> DRIVEWAY SECTION The undersigned owner hereby agrees to hold and <br /> NO ScalE save harmless the City of Everett from any and all <br /> r' --� claims for damages that may arise because of installa• <br /> +�,� ��p � tion and maintenance of the imprrnement hereto <br /> � applied for and further agrees to remove same up n <br /> �?n�__ _. 30" notice from the City and•1^o replace public ro ry` J <br /> damaged thereby. �r�' �' .,l��y,".rj.(.1 <br /> ,•� f ��l�y � �� , <br /> �Signature of App ican � 7 ���� `��• � �/'E'� <br /> , z��E? ;� ,a /i',��-rh�'�.��«..��'�J, jc� <br /> COPY OF THIS APPLICATION TO � Address' � __ <br /> BE POSTED ON JOBSITE. � ��- �3�-✓. 7 <br /> Telephone Number <br /> CALL.ENGINEERINGDEPT. 259-8871 yi!: �,i�',� <br /> Date —�' <br /> 24 HOURS BEFORE CONSTPUCTIQN ' <br /> CHECK I.IST Fee <br /> Water Valve Dept. Approvels <br /> Drainage <br /> - Curb&Gutter Engineers <br /> Sidewalk Water � <br /> / c Street <br /> L Communications <br /> r's Siynatur Traffic <br /> � h �G -7� Planning � � <br /> 7T ( <br /> �ate ' <br /> flemarks — <br /> 11350 �' <br /> Appraved by -�. �i -� i � � � <br /> . . . .�j f'��1� ir <br /> _ -�%',''7%. %. , iC/,�.5.-i�� _ - <br /> . <br /> Date Approved �� ., �`r� ��{ 0 <br /> �NSPECTOR'S COPY �.,�-->!.,_-�J/�j�.. � <br /> �. <br />