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cu <br />, <br />,� <br />CITY FNGINE[RS <br />EVERETT, WASIitNGI'ON <br />Thc Undcrsigned <br />Hcreby applics fo <br />AI'PLICATION FOR RIGIiT•OF•WAY USE PEIifJlll' <br />11045 <br />PERMITNO.__ �7 �� � , <br />At the following lor.ation ,�rcS ,'--� r�',..;,_'L��-� ,�.-. --�--sr_ 2 V✓y(1�l L��L�i.0 �, <br />� <br />(Work to bc done) <br />rjGG �}��i CHGD <br />D� fio Go�u 7`l,.c_�� <br />� // <br />/ " ! z� 7 <br />DRIVEWAY SECTION <br />- � NO SCALE ' <br />� .� <br />+1�� LIP � <br />3p" _I _30"_ � <br />COPY OF THIS APPLICAI"ION TO <br />BE POSTED ON J06SITE. <br />CALL ENGINEERING DEP.T. 2598811 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK LIST . � <br />Water Valve. � �. � <br />Draina9e � . , . <br />Curb & G�ttcr � � <br />Sidewalk ' � <br />Inspector'sSipnawrc , <br />Remarks <br />Notc: Oric�inal ta Customcr <br />, ���,y «F��� 210 �� 5 <br />1 Copy to Inspccror <br />� <br />0 <br />The undersigned� owner hereby agrees to hold and <br />sare�armless ihe'City of Everett from any and all <br />� c�aims 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 trom the City and to replace public properry <br />dajnaged thcreby. � , , � � <br />� <br />/D—�S�— %'� <br />Fee �! �.z 3� . <br />. • Dept. Approvats <br />Engincers�' � �K,L`� <br />• Water__ <br />' Street <br />Communications <br />Tratfic <br />� <br />APproved l,y <br />Deto Approvcd <br />c <br />