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everen <br />e. <br />CITY ENGINEERS <br />EVERETT,WASHINGTON <br />The Undersigned � �i <br />Hereby applies for pertnission to <br />APPLICATION FOR RIGHT•OF•WAY USE PERMIT 113 3 Z <br />� <br />A[ the following location % �- ' � ��'� � , /c , j j ' ' / , f <br />IWork to bs done) <br />� r "L c <br />�� �,� � <br />,�., ' _ . r <br />., • � �,. } ,r�/ <br />� � { �a <br />1 i {�,, �. <br />�iA���Fn�L 1"�� ;J� wh.,V��S� . . . . . . <br />l <br />�� <br />r�+.�4'�,Y 'i�� �.- . � . . . . <br />� <br />� 4 ,:11 <br />if � V <br />r �`� �'�I� h ,-� � .. ._ . <br />� � ?vi� � iy �,y5� � � . . '. <br />���Ft� {-` ' .� . <br />:.'�� 1� �' <br />�j ` . <br />� 6 . . . � ,1' ' . . . . <br />DRIVEWAY SECTION <br />NO SCALE <br />� �I" lIP � <br />r 30�. T � 30�� <br />COPY OF THIS APPLICATION TO 1 <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEP7.259�8811 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK LIST <br />Wabr Valve � <br />Drainage <br />Curb & Gu[ter � <br />Sidewalk <br />Inspector's Signawre <br />':y � � i�', <br />� �: , <br />PERMIT N0. �. � <br />_ <br />"1 <br />The undersigned owner hereby agrees to hold and <br />save harmless 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 further agrees to remove same upon <br />notice from the Ciry and to replea�public property <br />damaged thereby.' � <br />"-,�1�l-i�,{_n."� ��� ��1� � .''�.'�, � <br />SignatuFe�of Applicant- <br />_-L/,(�i C ,� _. ..� l-I ` , . ) <br />Dept. Approvals <br />Engineers _. <br />Communications <br />Planning <br />" : <br />�"r ; , <br />� � <br />� Remarks <br />=� 113:3? <br />' Approved by �� <br />