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� •, <br />everett <br />e <br />errv er�cir�eeRs <br />EVERETT,WASHINGTON <br />The Undersigne � (�� � <br />He y�p lies �e ission to <br />.'• � Ot <br />At he toll�v�ing I�q a ion�. <br />� ' � Z/ <br />, . ��� <br />� <br />APPLIGATION FOR RIGHT-OF-WAY USE P�RIdifT ��, b�. 3 <br />0 <br />� W r15Ro donel D�4 � � l� /J��� <br />. �� V, � `M <br />� ' n <br />� � . � •� .•'"T . , , , -, �� 'V ' i' • � . ' •r <br />�' . . . . 't. f . . <br />I � (' � <br />.. � � . <br />. ��� � ` f ) j,�� G'\Q <br />V <br />�¢ir�o ve, , <br />����� <br />. �, J <br />s l.J <br />�T. �L � <br />w�V <br />.� �\ <br />1 �\ <br />}��\ //�Y \ �\ � <br />11 i'G � `] 14 l/ ✓ � ,� /C�' G �.CJC� /� � <br />� <br />�� P c.� ,� ,�-1, � <br />, <br />\ __% <br />� <br />\ <br />PER�dITNO. QSI�-�— <br />,.•,. •t .. / �. I. <br />\\ LJ <br />f�,-`�-� <br />� ��� �' <br />i <br />DRIVEwAv SECTION �. i The undersigned owner hereby agrees to hold and <br />NO SCALE <br />� � <br />I" LIP <br />� ;p'� �- 30" <br />�� <br />COPY OF THIS AFPLICATION TO <br />BE POSI'ED ON JOBSITE. <br />CALL ENGINEERING DEPT. 259�8811 <br />24 HOURS B[FORE CONSTRUCTION <br />CHECK LIST <br />Water Valve <br />Orainage <br />Curb & Guttrr <br />Sidewalk <br />Inspector's Signature <br />5 <br />].1G:1 7 <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 foj�and turther agrees co remove same upon <br />noyic�frdi�5 the City and to replace public groperty <br />C ��G Lvv+�+- <br />Te ephone Number <br />�sa- o��-� <br />Date (' <br />�—���8� <br />Fee <br />Dept. Approvals <br />Communications <br />Approved by <br />etJs:oMSR Date Appmsed <br />9 <br />