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` APPLICATION FOR RIGHT-OF-WAY USE PERMIT L i 3 7 5 <br /> everetl <br /> 1=� <br /> • �� <br /> CITY ENGWEERS <br /> EVERETT, WASHI�N PERMIT N0._ 7g —Z7�J <br /> The Undersigned ��i, . � � <br /> �.d�,7t� <br /> r <br /> Hereby applies for permission to �i ..; pj ' / e�„ � <br /> �"=a't=�=---thC�t� r ✓ v <br /> A[the follo�ving location ,�t��� ���� <br /> 3 / `��_l"�`'��' <br /> `� /D U-'y �rlC- S � <br /> SKETCH - i <br /> (Work to be done) � ' , <br /> Cl� !CJ Ci��%9 S-�— . <br /> �i/]�//� s.t � . , <br /> �L�j :/' i�,.- �'d <br /> � <br /> DRIVEWAY SECTION The undersin,ned owner hereby agrees to hold and <br /> , NO SCALE save harmless the Ciry of Everett from any and all <br /> � � claims for damages that may arise because of installa• <br /> �' LIP —� tion and maintenance of ihe improvement herelo <br /> 30"�____ 3p•�� applied for and further agrees to removr. same upon <br /> notice fwm the City and to replace puLlic property <br /> d-e � her <br /> -�'L • n it�� � .i,, <br /> Signature of ppli t <br /> � �dD //� ��L Gt f e �. <br /> I CO°Y OF THIS A2PLICATION TO Addr ss <br /> I BE POS"fED ON JOBSITE , __� 9�� �� <br /> CALI ENGIN�ERING DEPT. 259�8871 Telep one Number <br /> 24 HOL'RS QEFORE CONSTRUCTIOiV Date���� <br /> CHECK I_IST Fee <br /> Water Valve <br /> Draina9e Dept. Approvals <br /> Curb& Gi�tter Engineers <br /> Sidewalk <br /> — Water <br /> Street <br /> Communications <br /> I�ispector's SignaWre <br /> Traffic <br /> • Planr,ing <br /> Date <br /> Remarks <br /> �. 1_ 37 � <br /> Approved by <br /> CUSYOMEw Date AFprovzd p <br />