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everett <br />.� � <br />CITY ENGINEERS <br />EVENETT, WASHINGTOIJ <br />The Undersigned _ <br />Hereby applies for permission to <br />APPLICATION FOR RIGHT•OF•WAY USE PERMIT <br />11372 <br />PERMITNO. )`� " .' (� i <br />i .�,5� z. <br />/- - r <br />i' - -- <br />, �l. . _-,../��C � . � L"'� /�I��;. . <br />At the tollowing la;a[ion � - � .�,.�- / v�� . � � <br />' �� { . l . � . _ i.� � ;- <br />/ <br />'n r'�;i.. .. n i � <br />SKETCH <br />(Work to be done) . � -. <br />-- ��,;'G�'1;ilC� ��(��C/-�_; �,_ rv,r);' 7, . - , <br />, -r- � i <br />s l •�`��UJ��,�'DS -- -1 <br />�: � l r �` ri t '; � �,. � . . ' . �1 � \ <br />GRIVEWAY ScCtION <br />NO SCALE <br />� 1��l.IP � <br />�30'�____ I 30"� <br />__• i' <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON J0651TE. .�.. - <br />CALL ENGINEERING DEPT.253-8811 �� <br />24 HOURS [3Ef=pRE CONSI"fiUCTION <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb & Gutter <br />Sidewaik <br />/i /' �._/' ; <br />Inspec�or's cnat e �/�/�y%�// <br />�_" 7� - �� <br />at�� - <br />/; �l <br />flemar"s <br />1J �72 <br />� The undersigneri owner hereby agrees to hold and <br />save harmless the City o( Everett irom any and all <br />claims for damages that may arise because o( installa� <br />� tion and maintena•ice of the improvement hereto <br />' applied for and furth�r agrees to remove same upon <br />notice from the City and to replace public property <br />damaged there6y. - � . . <br />�� <br />. Signature of Applicant <br />Addrnss � ��' ��� � " <br />i ' <br />Telephone Number � <br />y-,� i <br />Fce` -` <br />Dept. Approvals <br />Engineers <br />Water <br />$treel <br />Communications <br />Traffic <br />Planning <br />Approved 6y � j <br />— _:../L'.1 . <br />Datc Approved � � � - � p <br />IGSFi'I�iUlt�ti CQf`Y . ' , <br />� <br />