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'� L� .� `� � V f' f� t' TJ �•J'v . ... �-� 1�. I> V 1c. f....• � L `t Cia <br />� S/�c�'1- t�c.tar U2� <br />APPLICATION FOR RIGHT-OF•WAY USE PERMIT <br />evr.rcfl <br />� . <br />CITYENGINEERS <br />EVERETT, WASHINGTON <br />TheUndersigned �/✓/J�V'-i.(� <br />Hereby applies for permission to <br />10973 <br />PERMITNO. •?� Z�Z <br />At the following lxation � 3 0 y �i�an/ D �j/ � � <br />(Work to be done� <br />SEE fj'TIAC/f�0 <br />DRIVEWAY SECTION <br />(� NO SCALE <br />I � <br />I" LIP <br />jr3� T --�30�� <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JO�SITE. <br />CALL ENGINEERING DEPT.259�8811 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK LIST <br />Water Valve <br />Draina�c <br />Curb & (?nitrr <br />Sidewalk <br />Inspectoi's Signatwe <br />Remarks <br />Note: Ori9inal to Customer <br />, ����Y �o F��,, 10 9 7 3 <br />1 Cop�� ;�� Inspcctor <br />P/ <br />The undersigned owner hereby agrees to hold and <br />save harmless thc City of Everett from any and all <br />� claims for amayes that may arise because of installa• <br />tion and intenance of the improvement hereto <br />applied fo and further agrees to remov �same upon <br />noticf �o the City and�to r��e�ic property <br />Fee <br />Dapt. Approvals <br />Street_ <br />Communirations <br />n��,�o��d �v <br />0 <br />