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cvcrt•ttl <br />CITY CNGINEERS <br />EVERETT, WASHINGTON <br />rsi rLICAI IUN FUH HIUH I-Ul'-WAY USE PERMIT 11187 <br />PERMIT NO.. 7Cl5�4 <br />The Undersigned Or Rmre—r <br />Hereby applies for permission to _C 3�s'a fr u.vS c 1` t .'to •/ L,v r rr'o J PF Net iy=Z/ r e G Stu <br />.Tvj�—Q l�r i�L/•lCE rt/rsi�l �./r nF /rt•nIL,PF �Lr��i.t/�______T_ <br />At the following location_ 2VZ 7 F�r7L /%LVO <br />SKETCH Check - <br />(Work to be done) (1) s/%/ <br />I,%1 Dew w.-14- <br />(3) S/ v--/.....Q <br />Prapsed I ./ <br />DD (/►/ Si e w�/k <br />W I <br />/rE/C /CL Ca WV, Cv,C6 Y-- <br />I � c.o r�1N•:,r�•p Caae. <br />N/yd I� <br />�M <br />I� <br />/s4 r <br />DRIVEWAY SECTION <br />NO SCALE <br />#I" LIP <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT.259.8811 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK LIST_ <br />Water Valve <br />_DrainaJe- - <br />Curb R Gutter <br />Sidewalk <br />Inspector's Signature <br />House <br />Remarks 11187 <br />/lE C.9c/ <br />t <br />g <br />The undersigned owner hereby agrees to hold and <br />save harmless the City of Everett from any and all <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 />notice from the City and to replace public property <br />Dept. Approvals <br />Engineers—__ _------ -- -- — --• — . _ <br />----._------�-- <br />Street _ <br />Communications. <br />Traffic--- <br />Planning--- <br />Approved by <br />r <br />