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everelt <br />e <br />CITY ENGINEERS <br />EVERETT, WqSHINGTON <br />The Undersigned __� <br />Hereby applies for permission to <br />A[ the following <br />(Work to be done) <br />ORIVEWAY SECTION <br />�_ NO SCA�E <br />�----- -� <br />1 ��� LIP —�J� <br />� 30..�...__ _ ___—_—. — � J <br />fCCPY OF 7H�S qPpLICFlTIOfJ TO � <br />I BE POSTED ON JORSITE. <br />i <br />CALI ENGINEEflING DEPT. 259�8811 <br />Z4 HOUpS BEFORE CONSTRUCTIONJ <br />CHECK UST <br />Water Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />Inspec— �o� S gj9�a[ure <br />Remarks <br />APPLICqTION FOR RIGHT-OF-Wqy �SE PERMIT <br />�=_ — I'.`:i ,f.\. PERMIT <br />� T , v� <br />T / ..l <br />t <br />. �;- �„ r`C'-,`Y r <br />;/� <br />� •{' <br />f x� ' <br />r' ::s^ . <br />� <br />;;: Y " <br />' ��' � <br />� �.;titf ��::� . <br />- I�`'���'�'Gi �1 G��-✓`� <br />� 7%,i^..4 <br />� _ � ,;!�u/� � <br />��r�j <br />� v�r�.G� <br />- r- <br />/ U �j':���, <br />p �M ��C <br />, ;�,�J,;-4 � <br />�n�,C� i �' u � r� �;��I�k� <br />I Z. U � ' <br />'��-,�,1���- I y �a ��..�. <br />JThe undersigned owner hereby agrees to hold and <br />� save harmless the Ciry of Everett from any and all <br />t claims for damages that may arise because of instaila• <br />�_\, �� tion and maintenance of the im <br />���j� �Pplied for and further agrees to remove samerupon <br />\ notice trom the Ciry and to re lace ublic ro <br />1` Q damaged ihereby, P P P Perty <br />NJ � � ,� <br />� Signature�of A � � <br />pplicant - � <br />Address <br />� .t <br />�� � o ifsz�-s <br />Telephone Number <br />Date <br />__-- - } <br />1- %��� � <br />ree ,_ <br />Dept. Approvals <br />APProved 6y ,.., ( . . <br />. ". .' -. . -. <br />Date Approved — <br />8 <br />'Si <br />e <br />