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�everett <br />� <br />Cf�Y ENGINEEFS <br />EVERETT, WASHINGTON <br />The Undersigned �,=7.. _ <br />Here6y applies for pe�mission to <br />APPLICATION FOR RIGHT-OF-WAY USE PERMII" <br />At the following location - � / �, _1.�,'J1=�_n/�'� _ <br />SKETCH <br />(Work m be done� , <br />�..�,� j-l-'� i! L,' _ �i <br />ORIVEWAY S�CTION <br />NO SCALE <br />�_ ___ —__�.J <br />I <br />_ j I'� LIP _ _� <br />I 30'�f,�__._—�____ _— 30.� <br />r— � --�i^__-i <br />�, co�v or- rtiis ni��F uc�n�ioiv � o <br />L�E POST[D ON �G�SITE. <br />CALL [IJGINEERWG D[PT.259�8871 <br />2�' I IOUI _; uGFOHE COIVS�I"RUCTION I <br />CHECK LIST <br />Water Valve N� <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />�� <br />In;per.(c�'s Signr,ture <br />� 6atc — <br />Rcr�arks <br />No'e: Original to Customer <br />1 CoPY ro Filo ����[� <br />1 CopY <<> Ins�.cctor <br />10%$�i <br />PERMIT N0. <br />7 . ; - <br />The undersi�ned owner hereby agrees to hold and <br />save harmless the Ciry of Everett from any and all <br />claims ior damages that may arise because of installa- <br />tion and mainten.nce of the improvement hereto <br />applied for and further agraes tu remove same upon <br />notice from the City and to replace public properry <br />damaged Wttr by. �! <br />�Cf lGx(G� GA7Gd-O>L <br />Si�� <br />re o Applicant �- ,�,�,_{� <br />,�n�0� �'. rr. / — c�f'6�-p-4 <br />Address <br />���a� - ��le 7 <br />Telephone Number <br />4-a/- 77 <br />C.re �,-t.. - - -- <br />�� f h� <br />Fee % <br />Dept. Approvals <br />.� ' <br />E.igineers �t � <br />� <br />Water . , .�t.es',�IO'��".. <br />Street {� � fi ^ i r.� �z �' c��� � <br />Fianning <br />S�..v��✓ l � e�y .i�_. � <br />P.pproved by <br />Datr. Approvr.d <br />