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APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />vcr tl / <br />CITY NEERS <br />EVERETT, WASHINGTON <br />11224 <br />PERMIT NO. 78' / 46 <br />The Undersigned M/NiP FA1rLtSPl — <br />Herebyappliesforpermissiontoj-&/ &PiManF It2�rG9761C20—rfC GuLDKRi <br />Jn/ F,yIIZ=[1'zr O rat l /iJ�s uvi�C oiJOF6 7/16 1�� �. HI�c�Or�iJEcT r.� GcrUsn/G <br />At the following location - -- - <br />SKETCH I ?U7L� rr 1 <br />(Work to be done) j <br />t� <br />h. `I <br />Zo <br />I <br />k w� <br />.t4t.sr <br />r.L. <br />DRIVEWAY SECTION The undersigned owner hereby agrees to hold and <br />NO SCALE J save harmless the City of Everett from any and all <br />G 'a/felms for damages that may arise because of <br />installs -I" LIP 0l , /we ray 6 i-ak.1 s` �,. Cjon and maintenance of the Improvement hereto <br />L / ^^((((applied for and further agrees to remove sa a upon <br />30" Y�/ f� o�e�. X%7 T: notice <br />from the <br />City anOAo4eplacee blicJ/�f}�"roperty <br />4hR%.t eCCres)lY`...7 - Yl <br />15 �. #e / 9 ��b a "'nis. <br />-fie, /• <br />COPY OF THIS APPLICATION TO $P t <br />BE POSTED ON JOBSITE. �nerCd b <br />CALL ENGINEERING DEPT. 259-8811 / � <br />(we a pf ail C. e <br />24 HOURS BEFORE CONSTRUCTION Is <br />S•e e <br />CHECKLIST �o-sC�ew f T 7 <br />Water Valve 7 <br />Drainage <br />Curb &Gutter �r,..G (l�`• • }J� <br />Sidewalk 0 <br />Inspector's Signature <br />Remarks 11224 <br />Fee n/O <br />Dept. Approvals <br />Street <br />Communications <br />Traffic <br />Planning <br />Approved by <br />CUSMOMIR Date Approved <br />