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everefl <br />i� <br />CITY ENGINEERS <br />EVERETT,WqSHINGTON <br />ilie Undersigned <br />Hereby applies for permission to <br />At the following <br />(Work m be done) <br />APPLICP.; �CtN FOR RIGHT•OF-WqY USE PERMIT <br />- , � � •,`!7 FiK��,� <br />DRIVEWAY SECTION <br />, NO SCALE-- <br />�---- —.{ <br />L+I" LIP _� <br />I 30'��—_—_.. I 3��� I <br />I'�- i --�—�t'--�1 <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 259�8811 <br />'1.4 HOUfiS BEFOF[ CONSTRUCTION <br />� _..------- <br />Cl1ECK LIST <br />lNatef V�ivr, <br />Drainage <br />Curb & Gut[er <br />Sidewalk <br />Inspector's Signature <br />P.emarks <br />.;_ �.,��,_ �.. <br />_� cJ�Y, <br />j�,icic_,;- .._ <br />PERMIT <br />�. _ <br />� � � � � <br />J <br />\ <br />1�� �, � <br />�� � �^ �� �/ <br />� �� <br />The undersigned owner hereby agrees to lold and <br />save harmless the City of Everet[ from any and all <br />claims for dainages tha[ may a�ise because of instalia- <br />ticn and maintenance of the improvement heretc <br />applied for and further agrer.s to rcmove same upon <br />notice irom thr Ciry and to replace public property <br />damaged thereby. , .- <br />Signature of Applicant - �— <br />� �i /`�. <br />Address <br />� � '-_-;]::, <br />Telephone Number <br />Date <br />Fee <br />Dept. Approvals <br />Communications <br />Approved by <br />; , . , Date Approved 9 <br />�. <br />� <br />