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/ ." <br />� evcrctl <br />i,.,r� <br />CITY ENGINEEHS <br />EV[R[TT, WASHINGTON <br />Thc Undcrsigned _ I�/+V I U � <br />Nereby applies for permission to � <br />,_ � At [he following <br />(Work [o bc done) <br />� , <br />APPLICATIUN FOR RIGHT•OF-1'J �Y US�.(�E��B1(�' I1 �?;�� � f-.� C� ��''` ;;'�� E> >� <br />�✓ j� ` ^� I� .�, (� (j{� � j- <br />L7 C :t ':r]i�.:..<:J:��f!y'17��.` �'� Fi �� <br />� �U:J <br />- � DRIVEWAY SECTION <br />� NO SCALE <br />��� LIP � <br />L 30"_ I I 30" <br />�(a <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL E�GINEERING DEPT: 259•8811 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECY. UST' <br />Water Valve • <br />�raina9e . <br />Curb & Gutter <br />Sidewalk <br />�nspector'sSignaturc . <br />ate <br />Remarks <br />Notc: Oriqinal to Customcr • <br />i Copy to Filc � 0 C� O� <br />' S Copy to Inepcctor <br />�����' P�i��.� ��5;3'•^".t'f�?rlS,±i(?�i <br />• � PERMIT NO. � �I y� � <br />rjl�F l'�'7`l�i�1Gf-}'%i> <br />The undersign�d owner hereby agrees to hoid and <br />save ham�le:c the Ciry of Everett from any and all <br />claims fr.r damages thut may arise because of installa• <br />tion and maintenance of the improvement hereto <br />applied for and furthe� agrees to remnve same upon <br />i from the Cit and to replace public property <br />ag d therlby�/1 � �7 <br />` L�, �` w.,.� <br />Sign urc of Applican[ <br />Address � Y�� � <br />� 3 s-�F - > >o 0 <br />Telephone Number <br />' �s6' '7 $ � 7 <br />• Da[e � e�- —' <br />��r 9/,�/?�_.�':� <br />Fee - <br />Dept. Approvals <br />Enginecrs � � <br />Commun <br />Approvcd by <br />flatn Annrnvrd <br />f �S) <br />