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s:- ,, <br /> APhL.ICAT�ON FQft RIGHT-OF•WqY USE PERMIT ���r . <br /> everett 113 5 0 ' <br /> / -�'i .:��.� <br /> J CITY GNGINEERS <br /> EVERETT,WqSHING70N PERMITNO, 7S-' Zs� � <br /> The Undersigned�� �-'7.a� �r L.CrL�[�i'� �y � -� /,v� '��. <br /> Hereby applies for permission to �C�il/�-� �, /L Fj _ ' <br /> L <br /> At the following location_ / � z 3 — V�5. � <br /> Sl:ETC!', <br /> (Work to be done) . <br /> �(� � <br /> CJ j <br /> �� i <br /> � � <br /> L'�. <br /> i <br /> ��5� � <br /> � , <br /> � � <br /> � � <br /> , <br /> , <br /> � <br /> F <br /> � <br /> 0 K �.'1� <br /> q '� '; <br /> , <br /> � <br /> � <br /> F <br /> i <br /> i <br /> DRIVEWAY SECTION The undersigned owner hereby agrees to hold and � <br /> �, NO SCA�E save hartnless the City of Everett from any and all <br /> � claims for damages that may arise becausa of insta�l3• d <br /> _�i" LIP tion and maintenance of the improvemeM hereto � <br /> �_�� �3p�� � applied for and fur[her agrees to remove seme up n � <br /> �-��� notice from the Ciry an replace public ro��[ <br /> damaged thereby. . � <br /> ` ' � - �e <br /> Signature of Applic nt <br /> � i.3�iX �/ ��d��C�/ <br /> COPY OF THIS APPLICATION TO Address ' <br /> BE POSTED ON JOBS�TE. '� � /_.����— ! <br /> CALL ENGIhJEERING DEPT.259-8871 Telephone N �ber � <br /> !'`��z ��I�' � <br /> 24 HOURS F3EPORE CONSTRUCTION Date � <br /> CHECK LIST <br /> Watar Velve Fee — ; <br /> Drainage Dept. ApproVals <br /> Curb&Gutter <br /> �- - Sidewalk Engineers ` <br /> � <br /> Water <br /> Stree[ <br /> . ' f <br /> Inspector's Signature Communications � <br /> Treffic <br /> Planning <br /> ate � <br /> e <br /> Rema�ks � <br /> 11350 ,�.� , ., ; <br /> � � � <br /> ^ .,, <br /> ;��, ,, , <br /> APProved�(iy ; <br /> � �: <br /> r L�'�` [ <br /> P' <br /> CUiTOM[w DateApproved . "r .:, _;.°e-.'��r%�.CF,.R,.�::..:.. <br /> � <br />