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. <br />. , evcrett � <br />� � �� �� <br />i <br />. i' <br />i <br />CITY ENGI!VEERS <br />c`/ERETT, WASHINGTON <br />The Undersi9ned _ <br />Hereby appli?s for permission to <br />At the following <br />APPLICATION f-OR RIGHT•OF-WAY USE PERMIT <br />.� <br />- `c� - 1 �'/_ '.. <br />— , i' : <br />PERMITNO. � <br />/�/�J .I'�� _�. . <br />SKETCH <br />(Work to be done) <br />� i_ _�— <br />_.- --___.. J �_ <br />_ ,,u��u,��-17�������� <br />.�:_ _�..._ _ <br />d `'r <br />; <br />{ . _.,4 � , . '`",y, ��' ..!' �" .._ <br />DRIVEWAY SECTION _ :;�__.::J_'T'.' . <br />NO SCALE � �T <br />f--- - --i <br />� ��� LIP <br />�.,3Q.t.,_..__. 'i`3�1 <br />' COPY C��= -t,ilS APPLICAl'ION TO <br />I[dF POS i 6D OP; JOBSITE. <br />� C:ALL ENGINEERING DEPT. 259-8811 <br />�I �4 HUURS BEFOR[ CONSTRUCTION <br />_- ------------...-----_. .____.. <br />CHECY, LIST <br />Wate� Valve <br />Draina9e <br />Curb & Gutter <br />Sidewalk <br />(nspector's Signature <br />Oar7 - <br />Ham.�iF:; � <br />�.�..L..�..'�' <br />The undersi9ned owner hereby ayrees to hold and <br />save harmleu the City of Everett from any and all <br />claims for damages that may arise because of installa� <br />tion and maintenance of the improvement hereto <br />applied for and further agrees to remove same upon <br />notice from the City and to replace public property <br />damaged thereby. <br />Signature of Applicant <br />Telephone Number <br />Dept. Approvals <br />Communications <br />Plan <br />Approved 6y <br />Date Approved � <br />