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---�� - -- ------ - -- --------- <br />--------�------------------ ----- - <br />APPUCATICN FOR RIGH?•UF•'�h'AY USE PERh11T <br />10�90 <br />� <br />�� <br />� <br />� I <br />CITY ENGIN[ERS PERMIT IJO. �__� <br />EVERETT, WASIiINGTON <br />The Undersigned �.PVG � OL 5 ai1/ � / <br />Horeby applics tor permission to �o r'i ST� J G'r �"'� r ti%'SO�� T �,c��N <br />' / <br />At the foilowing <br />SKETCH • S �E ���/�r� <br />(1Alork to be donej � � . <br />� DRIVEWAY SECiION <br />NO SCALE� <br />r��-- <br />� \ �I•� LIP <br />r30^ � _I_30"_I <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBS�TE. - <br />CALL ENGINEERING DEPT. 259-5871 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECY. LIST <br />Water Valve <br />Drainagc <br />Curb & Guttcr <br />Sidewaik <br />Inspector's Si9naturc • ' <br />ato <br />Hemarks <br />Vo�n: Oripinal to Customcr <br />, ��nY �� ���� 10 J 9 0 <br />1 �opy to Inspector <br />e <br />iT�e widersigned owner hereby agrees to hold and <br />save ha�rntess the City of [verett from any and all <br />elaims for damages that may arise because of installa• <br />tion and maintenance of the improveme�t hereto <br />applied for and furthcr agrees to remove same upon ': <br />nntire frnm..it�e�6iiv and to replace public property � <br />_�" 1/O. i N � \ -�' TJ..:' ��J <br />' TelephoneNumber A_/�_,� �, <br />/ <br />Date <br />Dept. Approvals <br />Er.gineers <br />Street <br />Communications <br />Tcoi(ic . <br />Planning <br />Appioved by ' <br />� <br />