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APPLICATION FOR RIGHT-OFMAY USE PERMIT <br /> 10943 <br /> .aaa. <br /> CITY ENGINEERS PERMIT N0. 7 ; ?- <br /> EVERETT.WASHINGTON <br /> The Undersigned !� � <br /> Hereby applies for permission to ot, <br /> is Rs1cT A /,r1G_o. <br /> Atthe following location---!/-7-7 7/L!`--,rZ <br /> L - <br /> SKETCH <br /> (Work to be done) SEE ;-f f1 eNEO <br /> I <br /> The undersigned owner hereby agrees to hold and <br /> DRIVEWAY SECTION me harmless the City of Everett from any and all <br /> {� NO SCALE claims for damages that may arise because of irstalla. <br /> I tion and maintenance of the improvement hereto <br /> I I" LIP applied for and further gtr1oe�erf to remove same upon <br /> 30 notice from th rty ar/`1�ce lace C"tili property <br /> dar�3.gcd t bV• / <br /> I" y f// "Y``, <br /> Sign rs./tf.A r�.r (/ <br /> Address Sq- G C /_ <br /> COPY OF THIS APPLICATION TO BE POSTED ON JOBSITE. Trlephone Number // 7 7 <br /> CALL ENGINEERING DEPT. 2590811 Date SG„ <br /> 74 HOURS BEFORE CONSTRUCTION <br /> Fee <br /> CHECK LIST Dept• AP rovafs <br /> Water Valve �t <br /> Drainage Eogincers_f — <br /> Cwb &Gutter Water - <br /> Sldewalk <br /> Sheet_ <br /> Commwtirations <br /> Inspector's Signature Traffic <br /> Planning <br /> Remarks <br /> Note; Original to Costo,ncr <br /> 1 Copy I,F dr �. ��/1 ? Approved by <br /> 1 Copy to lmP'flor —_ ----� <br />