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�1 ... _ . . . . . . f' � . . •„ I � <br />' ( �„ -�t F1PFLi(;AIION FOR RIGHT•OF•�'JAY US[ PGR��11T <br />` i :T..::.� . . 110 � ° <br /> . <br /> CITY ENGW[[RS � �� � <br /> EVf:FiETT; Wnsfiirvr,TnN PEfiMIT N0. � >a'� <br /> T}ie Undersigned r,�ll/�� M�?✓Fl� /� �/F� N�N r s� <br /> Hereby applics for permission m /�n,• �;�c,i A 2 f� /� Sf%!ij�T j�y/ i <br /> At thc foliowing iocation�[./� ._��TN �v� c � <br /> SK[TCH <br /> (Work lo bc done) <br /> SE.E R�FlchrF� <br /> • d� fio Ga�iYs��:.�cb <br /> ; <br />, . �� /�Z/I <br /> r i <br /> 1 DRIVEWAY SECTIOW The undersigned owner heraby a9rees to hold and <br /> , NO SCALE - � save harmles5 Ihe Ciry of Everett iwm any and all <br /> �----- � tlaims for damages ihar may arise because of installa� <br /> �___ Y' UP , tion and maintenance bf [he improvemeni hereto <br /> 4..30�.�. { �30" I applied (or�and further a9rees to remove same upon <br /> . . �l notice from the City and to replace public propnrry I <br /> - . � . da��a�j�re � <br /> /�/ <br /> .��<�{'.t. ' <br /> ' � S� �nature o�F1� PS lican[ � <br /> COPY OF THIS AFPLICATION TO �`—�—J�(� � �(f <br /> Address <br /> B[POSTED ON JOBSITF. • . . , ��_� 5--� <br /> CALL ENGWEERIt:G DEPT. 259$S11 TelephoneNumber <br /> 24 f.lOUf;S l3FFORE CONSTRUCTION ��—����� <br /> Date <br /> I r— <br />� CHECk LIST Fec� ' <br />' VJa�er Valve . � . . . /;. ; <br /> �rainagc • • Dept. ! pruvals <br /> CurL Rl Guttcr ' � � � � <br />� Sidewaik � . . En9incers G�-. �G',i�,�. <br /> � � - � � Walcr <br /> . . . — <br /> Strcet <br /> I <br /> — � Communications <br /> Inspcctor's Si9nahve , � ' <br /> Tralfic <br /> , � � Plannin9 _ <br /> ��to -- , _._--- <br /> I — — <br />� <br />�. Hcin,rk _, — �. <br />�INnlc� Oripinal to Cus�umcr -----'– —'----_ . <br /> , c���ti, �„ r���� �. 1 � �I �l <br /> 1 Copy In In�.��rciof !u`UInJr;l 6—_'_—_'__._"'_"""...___' � <br /> fl.�., ._��n�r.�,.il � <br /> � <br />