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APPLlCATION FOR RIGHT•OF•WAY USE PERMIT <br />evcrell � � � <br />� <br />CITY ENGINEERS <br />EVERETT,WASHINGTON PERMITNO. 7 7iz' <br />TheUndersigned J::���) ;��" �/:}<�- <br />Hereby applies tor permission to /� O n/S� �✓GT � 7-.i � C Ji✓"r: � Tr ji lvv' <br />At the following location �v � I ����� �r-? <br />(Work to be done) <br />��= I?.7i?' � � <br />DRIVEWAY SECTION <br />NO SCALE <br />r--- -- - -� <br />�� \ �II" LIP <br />r30y__ . }—__._-- __-- _i30!^1 <br />��.nPY OF THIS APPLICATION TO � <br />I-,L POSTED ON J0651TE. I <br />ci1LL C"NGWE[RING DEPT.259-8811I <br />/�� HUUIiS B[FORE CONSTRUCTIONI <br />CHECK LIST <br />Water Valve <br />Orainage <br />Curb & Gutter <br />Sidewalk <br />�� ' <br />Inspector's SignaWre <br />Note: Original to Customer <br />1 CopY to File ' . � � <br />1 Copy to Inspector <br />Tlie undersigned owner hereby agrees to hold and <br />save harmless the City of Everett from any and all <br />claims (or damages that may arise because o( installa� <br />tion and maintenance ot the improvement hereto <br />applied for and further ayrees to re:nove same upon <br />noyce frofi the Ci�nd to replace public property <br />�N���e�9 � 9 � Yn��,�,� <br />�y�-��� ,- . <br />, Telephon—�Numbe�/// 7 <br />e <br />rc� 7 <br />Datc <br />,t : �c , <br />. � � �' ,�-7 �:�� , <br />Fee <br />Dept. Approvals <br />� , <br />Engineers S (�, ���s. �� � _ <br />Water _ <br />Approved by <br />Datc Appiaved <br />