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b% <br />everelt <br />� <br />CITY ENGI�aEERS <br />EVERETT,WASHlNGTON <br />APPLICATIOt�! FOR HIGHT•Q7=-WAY USE PERMIT <br />11073 <br />,� <br />PERA11TN0,�'� S <br />The Undersigned (`F^(T�� DD ZiNG /Lt(C, -– Gi4RY f>DL m S <br />� : —� <br />(Work �o be done� <br />�1' J � ': <br />rL�.•. � I'� <br />� .� �e <br />� � <br />'y�l�c.r,> C. ,�,�.'� <br />� �c�v��i%��,:s . <br />i <br />DHIVEWAY SECTION <br />NO SCALE <br />�-- � <br />�_�I" LIP � <br />�.���►�.... � _ I 3��f <br />� -- ---_ .. 'Y' � <br />COPY OF THiS APPLICATION r� <br />BE POSTED ON J0651TE. <br />CALL ENG W EERING DEPT. 259�8811 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK LIST <br />Water Valve <br />Drainage , � <br />Curb & Guttr.r <br />Sidev�alk <br />mspector's Signaturo <br />atS e-- <br />iemarks <br />1ote: Original to Customer <br />1 Copy to File 110 7 3 <br />1 Copy to Inspector <br />The undcrsipned owner hereby agrees to hold and <br />save harmlecs the City of Everett from any and all <br />claims for damages that may ar�se hecause of installa� <br />tion and maintenance of tha improvement her o <br />npplicd for and further agrees to remove sa upon <br />nntice from the City and to replace pyj�' �pr.r1Q <br />f re ���,J �:i� � <br />Dept. App�vals <br />/� /% <br />' .i' <br />Engineers-Y�� %o'i L o-h.i <br />Street <br />Communicationt <br />Apprrned by <br />