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_____ . - - <br />—� AI'PLICATION FOk RIGHT•OF�1Vl�Y l!SG PGRA1IT <br />, � ���.�„ 10 � 17 <br />,� <br />CITY [NGINEEf;S <br />EVERETT, WASHINGTON PERM111TN0.�— <br />The Undenigned �I ? .�'���T ���-2 (� _ <br />Hereby applics for permission to <br />At thc followin9 Ixation 2 3 3 DD,�,.i �/r, _ ' � . <br />(Work to bc done) <br />��� 1'�}_!�r/�}Ci`�"F� <br />�,x,�,� ,��,� <br />DRIVEW4Y SECTION <br />NO SCALE <br />�� � "I lIP � <br />30" i ___—�'30' <br />_'.r____. � <br />COPY OF TliIS APPLICl1TION 1'U <br />BE POSTED ON J06SITE. <br />CALL ENGINEERING UEPT. 259 6811 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECY, LIST <br />Wator Valve <br />Draina9c <br />Cu�b L4 Guttcr ' <br />Sidewalk � � <br />Inspee�or's SignaWrt <br />�emarks <br />Jotc: Or�ginal to Customer <br />1 Copy to File 10 817 <br />1 Copy co Inspeear <br />s �-�t ��- <br />The undcrsigned owner here6y agrees to hoid and <br />save harmless the City af Everett from anv and all <br />claims for damages that may arise because of installa� <br />tion and maintenancc of the improvement hereto <br />apP��ed for and (urther agrees to remove same upon <br />notice fro�iy. �d to replace public property <br />damaged cl <br />Sign rc ol Applican�(�, �,/-- <br />—___%}�/-�Y_�`a�� . . <br />Address <br />. <br />/i,,.�1_ _�_Gt ;'<�. �'627�' <br />Telephone Num6er <br />.-3�x's y���l <br />Date p �� <br />�i.�� �+ <br />Fea ' — <br />�ept. provals <br />Enqi nec rs_L,���• [�.a� <br />Communications <br />Traffit <br />Planning <br />Approved 6y <br />Datc Approved <br />