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APPLICATION FOR RIGHT-OF•WAY USE PERMIT <br />- everen <br />e �0753 <br />CITY ENGINEERS <br />EVERETT, WASHINGTON � PERMITNO. % �'�C� 7i <br />The Undersigned ����r✓Ti� /11 / �i (�;.1.� Ti„Z <br />Hereby applies for pertnission to /�ii _�� � T.''J C T /i 7 t� (-l���if.� t� /i / lr�/ <br />,.r_��— <br />At the following location _'�1 � 7. S�. �i?,a i�l� i <br />(Work to be done� <br />'. DRIVEWAY SECTION <br />� NO SCAIE <br />i �__ _— � <br />� I" LIP 1 <br />I 1��'T___--__---- y30 � <br />i <br />COPY OF THIS APPLICATION TO I <br />BE POSTGD ON JOBSITE. ' <br />CALL ENGINEERING D[PT.259�R611 <br />74 HOURS f3f_FORG CONS?RUCTIO�"� <br />i-. . ---- - . _.. _ . , <br />CHECK UST <br />Wa[er Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />Inspeclor's Signature <br />Note: Original to Customer <br />1CopYtoFile. �0753 <br />1 CoUY to Inspector <br />5'= = r� i T �ci> , � % <br />Sc �_ Nor�.: <br />. <br />The undersigned owner hereby agrees to hold and <br />save harmless the City of Everett from any and all <br />claims (or damages that may arise because of installa� <br />tion and maintenance of the improvement hereto <br />applied for and further agrees to remove same upon <br />noti rom the Ciry and to replace pvbjic property <br />d ged thereby. � ��� <br />� 77� —70/1 _ <br />Date <br />Communications <br />4���- .�-r A_.G,..,-,-.r ,+����� <br />� � <br />Approved by <br />Date Approved <br />