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, - <br />�� .� rf <br />� <br />'I�� <br />`� <br />CI7Y EdlGINEERS <br />LVEHETT, WASHIf1G�O�J <br />'(iic Undersigned <br />Heieby applies fo <br />APPLICAT�JN FOR RIGHT-OF-4`iAY USE PERMIT � � 3� C <br />i � <br />PER1diTPJO. �� �'�,� �S <br />At the following location 3 � Vr� <br />1'.Vork to be done; <br />�,� � ;'�� <br />��1. ��' -. � � i <br />' I �( 9/ //,�,. <br />��% � <br />��� �LJ <br />���JC Y � �� ,(iIJ �:-�-�� i1�/'CrsS <br />DRIVEWAY SECTION <br />NO SCALE <br />r--- —.1 <br />� I" LIP <br />�,"`ia" I _ ---- � so" � <br />� _�..�--�---____-- - <br />� 'T---7 <br />----- - __ _____---, <br />_c;P•: :: � .; .: -. _ _..T�cr, rQ <br />.c PGS i cD OAI JOdSITE. <br />' Cr3t_L c ..GI?iEEr^,�P1G 6EPT. 25&98111 <br />..:-� H'�tifl5 �E=0�� CONSTRUCTIONj <br />CiIECK LIST <br />�_ _ <br />�'.Vatnr Vdi•�e <br />' Craina9c <br />� Curb Pl Gut:er <br />� Sid�walk <br />Insp=_ctnr's Siynature <br />Du e <br />R�:man�y ----- <br />at;a7oM�:x <br />. ...... . ..... : __�.. . . -.. .. . . _.. ..__.�� <br />,>�, , �� � �/:: SF..,: , � <br />A <br />The undersi9ned owner hereby agrees to hold and <br />save harmiess the City of Everett from any and all <br />claims for damages that may arise because of installa• <br />tion and main[_nance of the improvement here[o <br />applied for and further a9rees to r ove same upon <br />[ice from the rt and Uepl p I c property <br />da i5ed there� � <br />� <br />9n t z pplic nt <br />� ��� �r� <br />Address <br />�,��i -3-��03 <br />Telephone N�ber. � ,_ r <br />y- f � <br />Date <br />Dept. Approvals <br />Engin <br />Ccmmunications <br />Approved by <br />Da[e Appr�ved `� <br />