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!" " <br />everett <br />� <br />CITY ENGINEERS � <br />EVERETT.4VASHINGTON <br />The Undersiyned /� <br />Hereby appiies for permission to <br />At the tollowing <br />(Work to 6e done) <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT � 1'� 1 O <br />� t� �� � 1 . <br />�S A�i �I��i <br />��''. i f7 I. I,; U� <br />� - --�I�ur �nru(-� <br />PERMIT NO. J8 — �� g <br />>F <br />� � <br />z�` - - � �l' <br />Aa; �� z ' 1 —�=�-.�-- <br />Wra. � SiJ. _...iA_/G <br />---{— . ---��- --- �-'t^/a/*-'�-.J-.^' <br />� .__. ��cn �So �J--- <br />DRIVEWAY SECTIL`N <br />NO SCALf <br />�_ _ --_.._,.1 <br />I <br />jl" LIP� <br />�O�"—'— _ 30.. <br />�COPY OF THIS AP?LICATION T� <br />BE PpSTED ON JOBSITE. <br />' C.4LL ENGIMEERIPJG DEPT. 259�831 I <br />�4 HOURS BEFORE C�N:".TRUCTIONI <br />��/ <br />CHECK UST � <br />Water Valve �-�"'� <br />� Drainage <br />Curb & Gutter <br />Sidewalk / ' <br />� � <br />�,� � � <br />.i-- <br />pectorY3i n �ure <br />� ` ��� <br />atc <br />�/ <br />Remark - � � 7 � � <br />The undersigr�ed owner hereby agrees to ho�d and <br />save harmless the City of Everett from any and all <br />claims for damages that may arise beca�se of instalia• <br />t�on and maintenance of the improvement hereto <br />a�plied for nd Further agrees to remove same upon <br />noiice'�o the City and to replace pu6lic property <br />da ag thcreb/y . / j <br />!2'tr�. �tL./J -i.>-s��� <br />ignature of Applicans C <br />,� � .�c" — � / �� t« �� S��'�u3 <br />Address <br />� :a i - �� :� . <br />Telephone Numbe� � <br />7 '� �%- <br />Date <br />Fee Nv Cc�� -- <br />DEpt. Approvals <br />En9ineer5 <br />C�ommunications <br />PI <br />Approved by <br />eUsmMSR Date Aooroved <br />