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. <br />. <br />. <br />everett <br />� � . <br />CITY ENGINEERS <br />EVERETT, N'4SHINGTON <br />The Undersigned "�`�� " <br />Hereby applies for permission to <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />At the following Ixation_ j" +%- l�l :� .�! r r� ., . �: , <br />SKETCH <br />(W�rk to be done) <br />i <br />PERMIT <br />�,1 <br />0 <br />11141 <br />0 <br />� <br />" ='" ZS� / J�.� (�j ..:�_�� <br />- Y f,- _ _�_ <br />/ <br />�, � <br />�-----_._---- '� 'i r;)/;.�;-. I .� i-' � � . <br />.._. �--'-- -. __ _-- --t"- --_^-:_ __-...._ _.__.__.__.. .; - ' <br />J z <br />DRIVEWAY SECTION The undersigned owner hereby agrees to hold and <br />NO SCALE save harmless the City of Everett from any and all <br />��---- ----- � claims for darr iges that may arise because of installa� <br />I" LIP / tion and maintenance of the improvement hereto <br />30 30' �� p l applied fnr and fvrtner agrees to rernove same upon <br />� notice trom the Cit and to re lace ublic ro ert <br />--� ----------____.— � �7 � Y P P P P Y <br />� V damaged thereby. ; � � � <br />"i. <br />COPY OF THIS APPLICATION TO <br />6E ?OSTED ON JOBS�TE. <br />CALL ENGINEERING DEPT.259�8611 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />/ <br />Inspector's Signature � <br />at—LS—e — <br />Remarks <br />INSPECTOR'S COPY <br />� �.�.� � .- r . ,. <br />�Signature�6f ApplicAr�t --`�`�—� <br />N� � <br />il.M .f�.. �'Ir �f/ <br />ddiess � � � � � <br />i, - . ., - �.� � . <br />, ?elephone Number <br />Date�� , � " � <br />Dept. Approvals <br />Strcet <br />Communicatic <br />Approved by .� `_ ��: "� �`. <br />; ; <br />Date Approved� <br />