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T- • T ., <br /> .^.PPLIC!�TI^M E�S?R RlGHT QF WAY USE PERh11T <br /> everell <br /> � ?Q9�)8 , <br /> CITY ENGINEERS <br /> E`JERETT,WASHINGTON PERMIT N0. �� L �-�-�� <br /> TheUndersi9ned ���7�cJ7�,C)/.J � ���L//,1/�ii� ,I _ � <br /> Hereby appiies for permission ro����T�, 2� � %. FJI��,QG% /�(.l ' <br /> _7 <br /> � At the followiog location��i� / f/E, J.�' . _______, _ � <br /> SKETCH <br /> --- � <br /> (Work to be done) /' � <br /> ;"�'�' �,��/> ,./�fj'�/� <br /> � ( <br /> I <br /> ORIVEWAY SECTION The undersigned owner hereby agrees to hold and �. �., <br /> NO SCALE save harmless [he Ciry of Everett from any and all <br /> � f'--- --- �-"I claims for damages that may arise because of installa- �. <br /> � f' Lla tion and maintenance of the improvement hereto �, <br /> applied for and fur.her agrees to remove same upon <br /> � �,30'�____ _____ �„30" I notice from [he Cfry and to replace public property <br /> ..� <br /> dama ed Ihereby . <br /> 2 .�5�!D cl <br /> � <br /> Signatur ' f Applicant � <br /> -__ � --- ----- --- -- . . <br /> i COPY OF THIS APPLICATION �I O '� AddJe�s � <br /> / ^ �. BE POSTED ON JOBSITE. .f> �" �/ '>.�-. . yj 'i �'��-�G,. , � �,n <br /> . � CALL ENGINEERING DEPT. 259�8871 ��, ��Telephone Number <br /> 1�' �- "7—G�-�'% � � <br /> � z=i t�our;s eEroHE r,oh�si�Rucrior;' oa�e _ <br /> _ � _ <br /> J- � �� %' , <br /> CHECI< LIST Fee -c� � �� ' , <br /> Water Valve �+�]" �'- � �� <br /> � Dept. Appfov�Is <br /> Drainage � ��; //� 'I <br /> Curb &Gutter Engineers I �Xifh. f� <br /> � Sidewalk Water � <br /> ��(fret <br /> Communications �, <br /> Inspector"s Si9nature � �� <br /> l'raffic <br /> f'lanning _ �� <br /> --�--�--------�------- �. <br /> Datc <br /> Remarks - <br /> Note: Original to Customer . <br /> 1 Cnpy ro File � �� - <br /> 1 Copy to Inspec[or � � Approved by <br /> Datc Approved <br />