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:: <br />• APPLICATION FOR• RIGHT-OF•WAY USE PERMIT 1� 16 (� <br />- everett <br />1 . - � • I .. • <br />CITY ENGINEERS � <br />EVERETT,WASHINGTON PERMITNO. %8'�7.3 <br />TheUndersigned��M � /�/ LJ�c.��,t,` � <br />Hereby applies for permission to � J,( )�jT,Q 2-rj �T GO.c i /��j L) <br />At the followinp <br />(Work to be doneJ <br />[1iJ���Y SIN <br />�. �l, C�,�c- <br />� � <br />DRIVEWAY SEC710N <br />, NO SCA�E <br />�•----- —� <br />� +I" LIP <br />30" _ I 30" I <br />COPY CF THIS APPIICAT70N TO <br />BE POSTED ON JOBSITE. <br />� C�IL E'!G\�EFtIMG DEPT.25&8811 <br />I24 HOURS BEFCRE CONSTRUCTIONI <br />CHECK LiST 1 <br />Water Valve <br />Drainape <br />Cur6 & Gutter <br />Sidewaik <br />Inspector's Signature . <br />Remarks <br />11164 <br />�� R�-..u.0 oYtS-�`-� Cv�6 �ro� � <br />f.0 a� I4�^ �o So.;� p..p..+-1.:. <br />�-� 1. R�p���o L�Jo���e.. �fl��..ye.�uS � I,� <br />P,C —� s.de..,.w <br />n ,,, <br />_ �' 3, C�.,�1.,.�-�.-G..(�1..�.....N � <br />_'_ — <br />f y (e.s�•.�J �aw r�dv...lkdc�•6-ti <br />� S��I��. p�yN�.1j �.�e. l^V16 �"� <br />60 �..it�/� w�+� Nt S/v. <br />` b � � <br />I i CO.�J�wr1 $J fOyC � <br />i <br />. p�w Peo pl.... <br />[K�iii]Ti� <br />c�m..,WS �s �'"G <br />L•7P <br />The undersigned owner hereby agrees to hold and <br />save harmless the City of Everett from any and all <br />ciaims for damages that may arise because of install0- <br />tion and maintenance of the improvement hereto <br />applied for and further agrees to rcmove same upon <br />notice from the City and to replace public properry <br />dan�ed ihereby <br />�W1 �� �t��nw:., <br />Signature,of Appli ap� pG <br />i. ['. !�.:1 %� �/� �.ynnt:xY^ S�°;. /d�� 1 <br />Address <br />� � (�-'-�!� � � <br />Teleph ne Number <br />�Fl�I ':J <br />Date <br />Dept. Approvals <br />Commun <br />Approved by <br />Date Approved O <br />