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verett <br />� <br />:ITY ENGINEEqS <br />cVERETT,WASHINGTON <br />the Undersigned C!. J ��nl <br />iereby applies for permission to <br />�t the fallowinp <br />APPL aTION FOR RIGHT•OF•WAY USE Pl AIT <br />1.09Q1 <br />PERMITNO. � � '2- '� <br />iKETCH <br />Work to be done) • — <br />S �� �gr�r4cr�D <br />�j�' 7+'6 G^�%'!d'7='/'-�%'-- �';+ <br />/ . <br />DRIVEWAY SECTION <br />, NO SCALE <br />r----- -----�i <br />1" LIP <br />Ln�_ �3� <br />COPY pF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. ?59�8811 <br />24 HOUHS BEFORE CONSTRUCTION <br />CHECK LIST <br />Watar Valve <br />Oraina9e <br />Curb & Gutter <br />Sidewalk <br />�espector's Signatum <br />au <br />Remarics <br />Note: Oripinal to Cu:taner <br />, �oPy `o F,�tl 1 D g O 1 <br />1 Copy to Inspector <br />The undersigned owner hereby agmes to hold end <br />save hartnless the Ciry of Everett from any and all <br />ciaims 1`or damages that may arise because of installa• <br />tion and maintenance of the improvement hereto <br />applied tor and further agrees to remove same upon <br />notice from the City and to replaca public proper <br />d fe Eb � � <br />�9�� of App icant y� <br />�ti 7'� � CQ¢if'/ <br />%�i,eoi �-ii <br />r�aafes5 <br />_3�� '.gZ <br />Telephone Number — <br />Data <br />Dept. Approvals <br />Enpineers <br />Water <br />Street <br />Communications <br />Traffic <br />�— <br />Planninp <br />-----_ <br />Rppruvad by <br />ha�w � �nrn�wd <br />