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everett <br />CITY ENGINEERS <br />EVERETT,WASHINGTON <br />The Undersigned _ <br />Hereby applies for <br />I'.J. R 1 L <br />At the following Ic <br />SKETCH <br />(Work to be done) <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />10881 <br />PERMIT NO. 2 -- / 71 <br />to F4o•i pot ,cf I.,P iR icK f no 1 ad,4r C—,*t'✓t 14e Z 5F_r..�- _IV <br />I: <br />3 I -al _S <br />se t tee, gn (:A-ech <br />YJJcS��ors,s,i,/ty OT �c i P✓sshyl 1 <br />C� Ve7Ae✓ I ile t �J Gh6 SdTi$TdCLI�n n'f <br />the Crt� o{ fs✓�zrelt. <br />DRIVEWAY SECTION <br />NO SCALE <br />—f I" LIP / I <br />30" <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 259-8811 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />j Inspector's Signature <br />Remarks <br />Note: Original to Customer <br />1 Copy to File 10881 <br />1 Copy to Inspector <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 City and to replace public property <br />Communications <br />Traffic <br />Planning - <br />Ova j er ey� .t� i T- ia01G7'� 4r?' <br />Approved by <br />Date Approved <br />