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zv ret4 <br />� <br />CIT Ei GINEERS <br />EVEn' . WASHINGTON <br />The Undersigned f.'A rCF N <br />Hereby appiies for permission to <br />At the following <br />(Work [o be done) <br />laPPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />��' �o-����� <br />-� . �'. !� . ., <br />_ "" <br />11390 <br />. , . :.;�.f4i.. <br />�.M - <br />PERMIT N0. <br />!j/,'���:_ r�'Y) %� ��i% <br />/; . <br />�/ � . <br />G��2 ����.e«. Q� . <br />��s�CC�L <br />DRIVEWAY SECTION � <br />NO SCALE <br />� � <br />+I•' LIP J� <br />L3_0'� _ � _ 30" � <br />i— <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGIN�ERIMG DEPT.259�6611 <br />24 HCURS BEFORE CONSTHUCTION <br />CHECK LiST <br />Water Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />Inspector's Si9nature <br />Remarks <br />The undersigned owner hereby ac�rees to hoid and <br />save harmles, the City of Everett from any and all <br />ciaims for damages that may arise because of installa• <br />tion and m.intenance of the improvement herem <br />applied Toi and further a�rees to remove same upon <br />not�ce from the City and to replace public property <br />/q'�S� -� .� � �� p <br />Fee /'�u..� �t 35H S�d <br />Dept. Approvals <br />Communications <br />Plannirrg _ <br />Approved by <br />CUSTOMHR Date ApprovEd " � . � a '� <br />