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� <br />" e�pretl <br />e <br />CITY ENGINEERS <br />�...-..��r ,.....� �,.�.,t�,si <br />APPLICATION FOR RIGHT•OF-WAY USE PERMIT <br />PERMIT <br />10U78 <br />�4 - / 90 <br />(Work to be done) <br />�,.✓{""' . <br />EXI�T/NG 51D�WALIC <br />AND CURB <br />�--DRAIN LJNE <br />�----_ -�-�- <br />- --- <br />DRIVEWAY SECTION ^��Q� ( <br />NO SCALE �« <br />� Z�j � C( x/C 5/w <br />�30' __._ __— ___ 3—'1 <br />COPY OF THIS APPLICA-(ION TQ � <br />B[ POSTE� ON JOBSITE. <br />i <br />I CALL E�GINEERING DEPT. 259-8811 I <br />I'` 24 IipUR� (3EFOR[ CONSTRUCTION � <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb & Guttcr <br />Sidewalk <br />:1JJ�. <br />�(� 1V <br />Q <br />QV <br />�� <br />Ov <br />Q <br />cv,zr-� Tc% �� �=r:v�cl.=t� <br />���.__Rrn�lr�vr." ..'�'�c�ri�:��� /w <br />The undersigned awner hereby agrees to hold and <br />save harmless the City ot Everett from any and al� <br />claims for damages that may arise because of instalia• <br />tion and maintenance of the improvement hereto <br />apptied for and further agrees to remo�e same upon <br />notire trom the City and ro replace public property <br />/�lU �C� <br />Fee <br />;� �//-7-�y <br />; _ Ins o ignature ��� Mof /2 <br />�r-� � 7-� <br />ale " <br />Remarks <br />Note: Original to Cus[omer <br />1 copv to Ff�e <br />1 Copy ro Inspector <br />Planning,�' � • ✓ /'- S'/7�= <br />1 � �� 8 Approved by � <br />Date Approved <br />�G.; J'D. �� <br />