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ek <br />CITY ENGINEERS <br />EVERETT,WASHINGTON <br />The Undersigned A bl ii <br />Hereby applies for permission to <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT 11243 <br />At the following location__{z'i}�r_�1k �Li[1rZ��1 <br />(Work to be <br />DRIVEWAY SECTION <br />NO SCALE <br />jl'LIP <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 />Water Valve _ <br />Drainage <br />Curb &Gutter <br />Sidewalk <br />Inspectors Signature <br />-- <br />A PLAt <br />Remarks 112 4 3 <br />PERMITNO. 78 —1.;7Z <br />S <br />Ptl C. n* -t,.-•. J 2 <br />The un ersigned owner hereby agrees to hold and <br />sav less 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 fu. ther agrees to remove same upon <br />notice from the City and to repute public property <br />dam a thereby. <br />Signature /o�fLApp�licant.I <br />lam"F. NUI - 0.Yk , d <br />Address <br />roa93a'7�i <br />Tele6 71 j / Rer <br />Date <br />Fc= <br />Dept. Approvals <br />Engineers <br />Water <br />Street <br />Communications <br />Traffic <br />Planning <br />Approved by <br />GUSTOMEW Date Approved <br />