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� .. <br />' everett <br />� <br />CITY ENGINEERS <br />EVERETT,WASHINGTON <br />The Uudersigoed I� � �r/- `� <br />Ffereby epplies for permission ta <br />At the foilowing <br />(Work to be done) <br />APPLICATION FOR RIGHT•OF•WAY USE PERMIT : 1 Q� 8--- - <br />`S C sf ft'`�i � = /`. �=' � <br />�DRIVEWAV SEC7�ON <br />{�� NO SCALE� <br />1 <br />� f I" LIP <br />I 30" �—�—�30 �j <br />�'"��' <br />COPY OF THIS A'PLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 259�8811 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK LIST <br />Water Valve � <br />Drainage ' <br />Curb & Gutter <br />Sidewalk <br />In�pector's Signature <br />ate <br />Remorks <br />Note: Original to Customer 10 9 6 8 <br />1 Copy to File <br />1 Copy to Inspector <br />PERMIT N0. � � �S Z <br />0 <br />The undcrsipned owner hereby agrees to hnld and <br />save harmless the City of Everett trom any and all <br />claims for damages that may arise because of install3• <br />tion and maintenance of the impravement hereto <br />applicd for and furthcr agrees to removc same upon <br />notice from the City and to replace public propeRV <br />d�aged thereby. �J G( /���� � � <br />I .I':+i --G?s � .!%% 7'—�11 -� _ <br />� [ / � � � r�l� � . c��J - <br />Ad� �,'C 3C3 % b <br />��ephoneN�rtlbyr _ ,� .7 <br />cir `1 <br />Date �� �-t�- nJJ l. Z � ! <br />i• (.� <br />Fee <br />Dept. Approvals <br />L� <br />EoB��eers ' ', ''� � <br />Water <br />Street <br />Communications <br />�� � a.�.�,a�� II/I� <br />� • .. . � <br />