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� <br />everen <br />., � -. <br />C�TY ENGINFERS <br />EVFRFTT, WASHING?ON <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />11370 <br />PERMITNO. %<��`� %C% <br />TheUndersigned _ , � ,,. _ ,., � ' <br />,- . ., - . _... ��- - .: . .. . - : - , , / <br />�t.c /� �- n ' <br />Hereby applies tor permission to _ « � � _ - . � - . � . - <br />At the followin� <br />(Work to bc dorv) � <br />� � 1 <' . <br />, � . <br />DRIVEWAY SECTION <br />� NO SCALE <br />� <br />�" L17 <br />30" _ _ 30 , <br />COPY OF THIS APPLICATION TO <br />BE POSTEU ON JOB5ITE. <br />CALL F.NGINEERING DEPT. 759�8871 <br />24 HQURS BEFORE CONSTRUCI ION <br />CHECK LIST <br />Watar Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />In s5ign�e <br />rv 3��v ��, <br />ate ' - <br />Remarks <br />! I / ,;���C..l�" <br />;-�, ,�-� <br />i��_ r_` cs�> -- <br />_ — 'c �': � �,��/,' <br />1i310 <br />The undersigned owner hereby agrees to hold and <br />save 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 improvement here[o <br />applied for and further agrees to remove same upon <br />notice from the City and to replxe public properry <br />damaged thereby. <br />Signature of Applicant � � <br />Address <br />Telephone Number� <br />_ . ,� <br />Dare <br />Dept. Approvals <br />Communications <br />Approved by ; <br />�. � ' � ' <br />INSPEC�OR'S COPY Date Approved ,� �_�. � j_�-, ,.. p <br />�, - �� � i .�.',. .. <br />