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� everctt � <br />e_. <br />CITY ENGINEERS <br />EVERETT,WASHINGTON <br />i j�, <br />The Undersigned � " <br />Heroby applies for pertnission to <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT 11 �� Z <br />B <br />ti�. <br />� .,, _ <br />PERMIT N0.__ <br />-- � <br />At the following Ixation � ' � �" '` 'c : � ! _.____ ! <br />SKETCH <br />(Work to be done) <br />%4: n ^�it�;''-i :4..,. ,:;7Z <br />�°�-p.Fy - . . ��� 1 <br />" a . <br />:�� <br />�. � ��a� <br />.. � . F,. *� , . <br />• {�• �- . i � � I Zi , <br />� d <br />F� } 1 S, <br />i , .' �?�y� . . � �. � � <br />� <br />'v/ L � ro . � � . If.:. <br />. . i . , ' _�" t'•. . <br />:_-+1 <br />' �l <br />�� <br />f <br />i r1 <br />��� <br />n •.-y � i:.r-. <br />' <br />, DRIVEWAY SECTION <br />� {� NO SCALE <br />I —� <br />I" LIP <br />�� 3u�� <br />0 <br />� <br />COPY UF THIS APPLICATIpN TO <br />BE POSTED ON J�BSITE. <br />CAL.L ENGINEERING DEPT. 259-8811 <br />24 HOURS BCFORE CONSTRUCTION <br />CHf:CK LIST <br />Watar Valve <br />Di , ispe <br />urb & Guttar <br />Sidewalk <br />�� � ��� <br />�.�� <br />� <br />- '_ j' 1 <br />��a�`. ��' 1 1 n 1i.�n fl�}��_ <br />. . �.'�., [. _. '.4'�'p�°y�;�7� blp,i:7. <br />_K l��' �n� �. A���� �!�1j4 {$��4� <br />�..-' i.l.:t'i kjy i(�♦ -� <br />. .�f. ,'rz. <br />'.,,; ,,: <br />� <br />O � <br />� � { �� <br />� �Q� ��P� <br />. � � <br />� ,� Q �P� <br />� � �/ <br />C� �� � <br />� <br />1� <br />Inspector's Signature <br />Remarks <br />11332 <br />INSFECTOR'S COPY <br />The u�idersigned owner hereby agrees to hold and <br />sa��e harmless the City of Evere[t from any and all <br />claims for damages that may arise because of installa• <br />tion and maintenance of the improveme�t hereto <br />applied,for and further agrees to remove same upon <br />notice from the City and�to repl c,public property <br />dam� thereby. �� , �� i':. <br />, .F���v-.��.a� i�.�.. ;'F;_� �,.�.'_a <br />, <br />Dept. Approvals <br />Communications <br />�ar�o��a bY <br />Date Approved , <br />s <br />0 <br />