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�.��.�n <br />� <br />�ITY [tJGINEC-RS <br />"cVERETT,WASHINGTON <br />R;e Undersigred /f� � <br />�ereby a�plies for permission to <br />4t the (ollowing <br />,Y�ork [o be doneJ <br />APPLICATION FOR ftIGHT•OF•WAY US[ PERMIT <br />S�F R-T�'�t G/� F o <br />D� �a C�,�,,��''hc.v <br />��%� •r�� <br />DRIVEWAY SECTION <br />, NO SCALE <br />r----- ---� <br />jl" LIP <br />�-'°-i- �-----�.3 � <br />�OPY OF THIS APPLICATION TO <br />DE POSTED ON J06SITE. <br />�ALL ENGINEERING DEPT, 259�8H71 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK LIST <br />Water Valve � . <br />Droinagc <br />Curb & Gutter � <br />Sidewalk <br />Inspector s Signawre <br />iemarks <br />Jo[e: Original [o Customcr ' n <br />1 Copy to File � 1 � 9 3 U <br />1 Copy to Inspector <br />1093U <br />PERMIT N0. ? � '� J -- <br />The undersigned owner hereby agrees to hold and <br />tave narmless the City of Everett from any and all <br />claims for damages that inay arise because of installa• <br />tion and maintenance of the improvement hereto <br />applied for and further agrees to remove same upon <br />notice irom the City and to reolace m�hr� ............. <br />�Dept Approvais <br />Enginecrs G_------��-Y�'�� ,�i <br />.. �_ <br />Street ' <br />Communicctions <br />Approved by <br />n,�P n„���,,,,,i <br />