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APPLICATION FOn RIGHT-01-MAY USC PERMIT 1 <br /> avr•n•b <br /> CITY LNGINEERS <br /> EVEREIT, W/wHINGTON PERMITNO.XTLZ!, _ <br /> Tlinumlersigned,^_ RrL <br /> Hereby applies for permission to 1 >, C •Q <br /> At the following location / 7 7 7 T_!4 fIn/ <br /> SKETCH <br /> (Work to be done) <br /> DRIVEWAY SECTION The undersigned owner hereby agrees to hold and <br /> NO SCALE save harmless the City M Everett from any and <br /> claims for da ages that may arise bee installa- <br /> f t t IP tion and maint nance of the vement hereto <br /> applied for and r �rsloygoove same upon <br /> notice fr m - rty'end to replace pLblic property <br /> d ereb <br /> A4 Jr'LL , <br /> ignaApplicant r <br /> r <br /> COPY OF THIS APPLICATION TO Addiess <br /> BE POSTED ON JOBSITE. , IPIAI //er?a zeM 9903 G <br /> Telephone Number <br /> CALL ENGINEERING DEPT.2598811 <br /> 24 HOURS BEFORE r,ONSTRUCTION Date r <br /> CHECK LIST Fee <br /> Water Valve Dept. Approvals <br /> Dminapo r <br /> Curb&Gutter r Engineers <br /> Sltlewalk Water <br /> Street <br /> LLs.t — Communications <br /> ;Pgpdcw,s Signature Traffic. <br /> i <br /> 1 AJG /,979 Planning <br /> Para -- <br /> nematks _� q C ,� n <br /> "�'�9 �� Approved by <br /> rursrOMen DeleAplmoved R <br />