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APPLICATION FOR F,IUHT-OF-NAY USE PERMIT <br /> evcreH 1 0 9 4 4 <br /> CITY ENGINEERS <br /> EVERETT,WASHINGTON PERMIT NO. <br /> The UndersignedJLJ=a ,tf Art t4l l 0W <br /> Hereby applies for permission to <br /> At the follcwing location 305- 7/s r= F[ S ✓ — <br /> i <br /> SKETCH <br /> (Work to be done) <br /> I <br /> I <br /> 1. <br /> DRIVEWAY SECTION <br /> The undersigned owner hereby agrees to hold and <br /> NO SCALE sage harmless the City of Everett from any and all I' <br /> --� claims for damages that may arise because of installa. <br /> tion and maintenance of the improvement hereto <br /> applied for and further agrees to remove same upon <br /> 1 30" j- 1 30" notice from a City and to replace ublic property <br /> If ereby. <br /> S' atura icant �y <br /> � e 957 t✓Kvrs7+ <br /> COPY HIS APPLIC <br /> OF TATION TO AdQress <br /> BE POSTED GN JOBSITE. _� <br /> Telephone NyLn /11177/,7 7 <br /> CALL ENGINEERING DEPT. 2598011 <br /> Date � 1� <br /> 24 HOURS HEFJRE CONSTRUCTIONI Y s!' <br /> CHECK LIST Fee <br /> Water Valve Deputy. Approvals <br /> Drainage /s ���'' <br /> i Curb&Gutter Engineers_ <br /> Sidewalk Water <br /> Street . <br /> Communications <br /> Inspector's Signature Traffic------- <br /> Planning------- <br /> Remarks <br /> raffic _-- <br /> Planning_ _—_ —Remarks i <br /> Note: Original to Customer <br /> -_ 1 Copy to File 094 4 <br /> 1 Copy to Inspector Approved 6y <br /> i <br /> Date Approved <br />