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CITY ENGINEERS <br />EVERETT, WASHINGTON <br />TiceUndersigrmd 4f1G <br />FMnrbY nlin for PiarmMalon <br />At *W following <br />(Work to be dorm) <br />W. <br />tiEwlrr., <br />I ICATION FOR RIGHT-OF-WAY USW.aRMIT <br />10388 <br />//4/1 <br />VE <br />COrCE/CA4E " <br />9/2D <br />DRIVEWAY SECTION <br />NO SMILE <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 259 8811 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK LIST <br />Wamr Valve <br />Drainage <br />Curb &Gutter <br />Sidewalk <br />2 vhi <br />PERMITNO. <br />i I <br />I <br />!AN✓fA3 MARO T <br />CaVc./CAMP il���o� <br />_ o i <br />JJ <br />Inspector's Signature auatt <br />st <br />S �SiGi< V/00V <br />I <br />I <br />_ <br />"THE ,rS,earE�?�G " <br />/c/eQN% l�/ENV <br />The undersigned owner 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 the improvement hereto <br />applied for and further tees o remove same upon <br />notice from the Cityic property <br />danWed thereby. l <br />Signature of Appl icant� <br />j i2C� lltw.tl <br />Address --- <br />:S2- <br />Telephone Number <br />C_ Z ° -1(C <br />Date <br />Fee <br />