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� ~ � APPLICATION FOR RIGHT•OF-WAY USE PERMIT <br />�' everen � � � � 0 <br />, • � <br />CITY ENGINEERS <br />EVERETT,WASHINGTqIJ PERMITNO. 7�'�� E'i <br />TheUndersigned _�'�L,,''�i�_. ��S�l�(=-�' <br />Hereby applies for permission to _//J'-4 T��� � �i � �`/,Q,�. �., ��.,,�� ���� � <br />i � � . _.-. - . _ _. <br />At the following <br />(Work to Ix done) <br />�`�-O / -•A�-- <br />DRIVEWAY SECTIQN <br />k0 SCALE <br />���� LIP � <br />1�=-�t'_-- --�j•3° �I <br />CUPY OF THIS APPLICATION TO <br />BE ?OSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 259�8811 <br />24 HOURS FEFORE CONSTRUCTION <br />CHECK L45T <br />Wat�r Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />� <br />� ��.�.��'___ <br />Inspector's Signatu�E <br />em <br />lGi/D�%r' <br />h <br />� I � <br />P/+-2K_1 �tl.��___ — <br />� P N�t�T' <br />, ' - _ <br />� � ���� � _���� _ � % <br />Remarks� ' � <br />' 11150 <br />l <br />,�',�y � <br />J��: INSPECTOR'S COPY <br />The undersigned owner hereby agroes to hold and <br />save harmless the City oi Everett from any and all <br />claims for damages that may arise because of installa• <br />tion and n�aintenance of ffie improveme�it hereto <br />applied for and further agrees to mmove same upo� <br />r.otice from the City a� to replace public praperri <br />Dept. Approva�s <br />Communications <br />:� ; <br />APProved by / . ` .._ <br />/ � •i <br />Date Approved ? � <br />C�';�c_)-�� <br />