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everett I <br />r •� � <br />CITY ENGINEEHS <br />EVEqETf, WqSHINGTON <br />The Undersigned <br />Hereby applies for permission to <br />- - �i 1 �"'-.1. <br />At the fol�owing location ' _ <br />(Work [u be done) <br />A�'PLICATION FOR RIGFIT-OF•WAY USE PERMIT <br />��, �i�5�: . <br />PERMITNO. � / �� � ' <br />- �. � � r s � r �_!a . �i � . . � <br />_ �%/; - i '<=�%A.� : / . ., <br />_ —,_.__,.—�._. <br />-`; I_�.7 j/r-i1 <br />��� �-���s <br />� <br />) - /: <br />/� . ��' (_��i . � . <br />Ll.�-�u�'-N, n <br />� <br />'��bo� C d�1 C f e�e �l-Gk.Q L�'i� � <br />v � � l�l.0 LT � �Wv�+'��^ <br />�/�\ / I/! ! j c� / c <br />CV�I'✓, C-�f�'Y'_(� ( n"��,`� ^�� ; �'i;T,� l� �' /�r.l;:��' <br />�.J�ii�1� Y ) <br />. 1 I ' � <br />, � ��._ <br />,. � . � � . . � �1�t..� %Ci1M rr.-�/,u-.t. i <br />� 1 <br />-��L-i� -' � � � � ; � �' � ��� �- <br />�'o �� �� 7a, l,,4,,,,ra b� �. r . � �`k �:� <br />� c�\ e��� c«' � F � �: , .:, . . <br />�� r � �. � -r� (5�, �,✓a� a.�c _ f>� � -r .. <br />,�� y � � <br />� , . <br />Pr«� (���� � <br />1,1 �:/�il '���6 . <br />i'1 <br />DRIVEWAY SECTION <br />NO SCALE <br />F-- --- ---i <br />I' LIP—� <br />3�i--�-i-- -- ---- --- ---�-ao„ <br />''0� Y OF THIS APPLICqTION TO <br />BE POSTED ON JOE3SITC. <br />i CALL ENGINEERING DEPT. 259�8311 <br />`24 FIOURS BEFORE CONSTRUCTION <br />CHECK LIST <br />�Vatnr Valve <br />Draina9e <br />Curb & Gutter <br />Sidewalk <br />�!r . � � <br />ector's Signature <br />C�_ � <br />ate — <br />4emarks <br />Ii:::P__..'tti;': uCr�'�� <br />The undersi9ned ownen c�reby a�rees m hold and <br />save harmless the City of Everett from any and all <br />claims fo� damages that mav aiise because of instalia� <br />tion and maintenance nf the improvement hereto <br />applied for and further agrees to remove same �pon <br />notice from the Cily and ro replace public property <br />d3maged thereby.�� - . - <br />,Signature of Applicant - <br />�� �I; <br />AddresT s � —� ' - - <br />Telephone Number � � � � - � <br />Dept. Approvals <br />Communicat�uns_ <br />_ i -- <br />i:.''t . � - - <br />