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' everett <br />. ,._e <br />CITY ENGINEERS <br />EVERETI', WASHINGTON <br />The Undersigned <br />Herehy a�plies for permission to <br />At the following <br />(Work-m be done) <br />APPLiCAT10N FOR RIGHI'-OFW.4Y USE PERMIT �=i ��_t <br />� �� j �J <br />Y- <br />DRIVEW.IY SECTIOA <br />Nb SCAIE _ � <br />� <br />I'� L'� <br />L30.1.._ _�-- —___.._i'3�1 <br />--- — -�— --�------I <br />COPY Of- THIS 4FPLICATIGN TO <br />BE POSTFD 0!. JGRSITF.. <br />CALL ENGINEERMG DEPT.259�8811 <br />24 HUI.'RS 6EFORE COfVSTRUCTlO� <br />CHECK I.IST <br />Water Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />Inspec�or's Signature <br />.�. .�. L. � 1.. <br />PERMIT N0. ' � <br />�,a <br />I <br />I ; <br />� <br />���,�_ ,". <br />The undersigned o�•ner hereby agrees to hold and <br />save harmless the City of Everett from any and all <br />claims for damages that may arise because of installa� <br />tion and maintenance of Ihe improvement hereto <br />app�ied for and turther 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 />Commun <br />Approved bY / �l.C�--C7� , <br />L <br />Dare Approved �� � �� U <br />3 <br />J <br />