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eveictl <br />e <br />CITY ENGINEERS <br />EVERETT.WASHINGTON <br />APPLICATION FOR RIGHT-OF•WAY USE PERMIT <br />1 ^a5s <br />� <br />PERMIT NO. � �/2 S ,3 <br />The Undersigned ! � ��✓ '� � - .' Ea c,�_�/ <br />Nereby applies for permission to �O A/ CTlrJ(' i ri %�.�i� ' c' l �iJ _ <br />At the fo�towing <br />�Work to be done) <br />bRIVEWAY SECTION <br />NO SCALE <br />� � <br />�'� LIP <br />�30�_. ._ ._ _ ___ . �30�'1 <br />f • . <br />CliPY06lHI5APPl_ICi1lIUfJ?U � <br />BE POSTED ON J06SITE � <br />CALL GNGINE[RING UEPT. 25J�8815I <br />7�' I„ �".;I'� i��F�)i7F LONST(iUCTION� <br />CHECK LIST <br />Water Valve <br />Drainaqc <br />Curb & Gutter <br />Sidewalk <br />Inspector's Signature <br />ate -- <br />Noir: Original to Customer <br />, �oE,� �� F��� Z 0 o r, 3 <br />1 CnPy Io InSU�•.cloi <br />'J +�� $ <br />_ i <br />� <br />S/: r ��7':i ' i��''�T <br />?he undcrsigned ownei hereby agrees to hold and <br />save harmless the Ciry of Everett from any and alI <br />claims for damages that may arise because of installa- <br />tion and maintenance of the impro+ement hcreto <br />applicd for and further agrees to remove same upon <br />notice from the City and to replace public property <br />�o,� �±S _�� _ <br />� . �, <br />Fee ��, � / � / � <br />Depf. Approvals <br />/� ,� ? <br />Engineers /-' �i�,�.+�.J� <br />Communications <br />Aupioved by <br />Da�n la��p�ovcd <br />