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�•vcrefl <br />e <br />CITY ENGINEERS <br />EVERETT, WASHINGTON <br />The Undersigned L' L. I' <br />Here6y applics tor permission to <br />APPLICATION FOR RIGHT-OF•WAY USE PERMIT <br />At the following location �i ?/ /i0 C-Ve ou o D 2��,.:_ <br />(Work to be done) <br />� <br />ORIVEWQY SECTION <br />NO SCALE <br />� ----�----� <br />I" LIP <br />I�30•�• __.__—_—_-__—_–�•30"J <br />COPY OF THI ; APPLICATION TO �'i <br />BE POSTED ON JOBSITE, i <br />CALL �NGINEERING OEPT. 259�8811 i <br />� 2�1 fiOURS BFFORE CONSTRUCTION I <br />CHECK UST <br />Water Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />Inspector's $ignature <br />Remarks <br />Noic: Onyinal to Customer <br />1 CoPy to File 10 9 a 5 <br />1 CnPy lu Inspec�or <br />Si_,: t� ,— i.-�;. Nc U <br />10945 <br />7 ' <br />PERMITNO. � fL �\' <br />c <br />The undersigned owner hereby agrees to hold and <br />save harmless the City of Everett from any and all <br />claims for damages that may arise because of instaila• <br />tion and maintenance of the improvement hereto <br />applied for and further agrees to remove samc upon <br />notice from the City and t rep ce public pro �erty <br />dama�pd there�'� � � , n � <br />---������ <br />Date j . � <br />�y.�� �`—`J � <br />Fee _____�_ �C�'` <br />Dept. (a provals <br />4 � /'9 <br />Engineers �� � t"%-- -, <br />Waler <br />Communications <br />Approved by <br />❑.itc App�ovcd <br />