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everetl <br />i � <br />CITY ENGINEERS <br />EVERETT.WASHINGTON <br />The Undersigned �.1. VL <br />Hereby applies for permission to <br />APPLICATION FOR RIGHT•OF-1'�AY USE PERfJIIT 1115 5 <br />PERMIT NO. % 8 —� % <br />At the following location�1�_��1 �/ L &,LV�7 _— <br />(Wor to be done�� �, <br />� � <br />� o % SO <br />, \ <br />i -� <br />I � 10 � � <br />� _ � <br />0 <br />� <br />�� <br />t�tE IS vNyGR <br />D/N1. <br />DRIVEWAY SECTION <br />NO SCALE <br />� —� <br />�_ 1" lIP <br />�3O„ � �3Q.� <br />COPY OF THIS APPLICATION TO <br />BE POSTED �N JO&SITE. <br />CALL ENGINEERING DEPT. 259-8611 <br />24 HOUftS BEFORE CONSTRUCTION <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />Inspeclor's Signature <br />, <br />� <br />- �X IST�N�- /�DVJe <br />.TvSi /�1/,PD��NG- <br />�y✓P A�DOr NC— T� <br />,Ex�sr��� a�,,�. <br />;� <br />, <br />� , ;, <br />�� =�. �:�� <br />� <br />0 <br />a <br />� :tema�lct 119. 5 5 <br />/ CUSTOMGR <br />,� <br />; <br />The undersigned owner hereby agrees to hold and <br />save harmless the City of Everett from any and atl <br />claims for damages that may arise because of install�• <br />tion and maintenance of the improvement hereto <br />applied for and further agrees to remove same upon <br />notice irom the City and to replace public property <br />damaged thereby. � <br />Addr�Signature of pplicant <br />� � <br />�.D�/1-1�v%� .///�.�t <br />Teiephone NumbeS Y�3 <br />�- 5 v�— � �'�3 <br />Date <br />�—� � � <br />Fee �-�5 � <br />� /� - -�• '/Z/�� <br />ept. Approvals <br />Street_ _ <br />C^mmunications <br />fyiproved by <br />(late 111�Prrned 9 <br />