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K tl <br />. � <br />�� <br />CITY ENGINEERS <br />EVERE7T, WASHINGTON <br />APPLICA.TION FGH RIGHT�OFWAY US[ F1-1''V:il' <br />_ .�. �� ..11 / <br />PERMITNO. ,� / °- ��' <br />The Undersigned � S TD � iV <br />Herebyappliesforpermissionto_ C�/VS)�7P,�Cj— }_ — /7 � F}-SPNALT�j�/ s <br />At lhe lollowirig loca[io� �, n/�_�/- S% ��%O�� _^,,Y. __ <br />SKETCH <br />(Work to be d�nel <br />S �/% <br />�,� f"e Loi�ldf���� <br />DRIVEWAY .'iECT101� <br />{.� NO SCALE <br />I � <br />L_ ,•� ��P _ <br />��--r--- , so,,,� <br />COPY OF THIS P.PPLICATION TO <br />DE POSTED ON JODSITE. <br />CALL ENGINEEFiING DEPT. 259-Bf111 <br />24 HOURS DEFORE CONSTRUCTION <br />CHECK LIST <br />Water Valve <br />Draina9e <br />Curb & Guuer <br />Sidewalk <br />Inspcetor's Sipnaw�c <br />Remarks � <br />Nole: Oripinal (o Cin�omcr <br />1 Copy to fdc 'L �(� 1 7 <br />1 Copy lo Impcc�ur <br />Li7TAG /�-E � <br />7he undersigned owner hereby agrees to hotd and <br />��ve harmless the Ciry of Evcrett from any and all <br />tlaims 1or damages that may arise because of installa� <br />tlon and maintenance of the improvemr.nt hereto <br />�pplied tor and turther agrces to remuve same upon <br />noticc trom the Ciry and to replace public property <br />Camaged thereby. <br />ignat/ur��.�fA ir� ��t _ --- <br />Add—I � <br />�3 5��6— l�'Wx Q� �.�tt•�f <br />elephonc Number <br />7 7s—,3sv� <br />Dau �—L7-77 --- <br />Fee ��7.s�. <br />Dept. Approvals <br />�+ <br />Enpincers ��{ L�,�. �� _ <br />Traf <br />Approved hy <br />Cnle qPpiovcJ <br />