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r _. -- - <br />!� ' everen APPLICATION FOR RIGHT-OF•WAY USE PERMIT 111$ Q <br />� . :� e /- _ ._ . <br />�rr, � ; JE�e,� y ,�o�-�ti„!f �/ �<y <br />CITYENGINEERS �� ��-�/ �i¢L S/7'� Irt��, (� <br />EVERETT, WASHINGTON PERMIT NO. � � T <br />The Undenigned _��Qrjy�//tj ��jCp/�/f � � <br />Hereby applies for pertnission to S-� ✓-� ; �� <br />� . .� i <br />At the fo�lowing Iceation_�7.0 � VJi= i n� �"' �= <br />�Work to be done) <br />3y�/( �' <br />b <br />Gu ArEC � <br />f'h ET"E2 <br />s �al <br />� sf <br />. L r T. <br />O FFu t <br />Q 1 D6. <br />320 �7 <br />ui �-7'►?wR E� <br />— BCri/L� <br />-.R'�K — <br />N� <br />./:�IL_ �:tl.Y� �; �� <br />�� <br />� <br />� T�� � � <br />� � �' <br />a � _ . , . . _ ` <br />_ -- -' " . <br />!� �, � , � �� �`•� <br />�, y f,�,/• F� %� C't /C N, i.rcr; _- , i' <br />; �� <br />. , i� � � <br />�; <br />� ,S�IBc✓a �k-- <br />�{%s� ��� <br />� <br />� <br />5 <br />� , �� .,. - ' Jref.1/l�'.!"' /� � �. <br />�� . `� �� W��'rhoRE �x��r`n� pr; �ewa(� . <br />i <br />.�"'p 1�,�- I�Er'YW ✓Lzqf� '. ,� ; . �i- , :7�� t`,�1�• <br />� _ _ . �..�t_: ,_.i� , <br />DRIVEWAY SECTIONN� �RS��hY The undersigned owner hereby agrees to ho�d and <br />{� No SCnIG � — . �,.. �� save harmlesz the City of Everett from any and all <br />I 2Q � � ��� '��� , claims for damage: that may aris� because of installa� <br />/. r'i. �i" t : <br />{ I" uP � � ' � tion and maintenance of the imprwement herrto �' <br />��30 ' applied for and furffier agrees to remwe tame upon � <br />—�— " �- notice from the City and tp repJpq� public oro�rn <br />COPY OF THIS APPLICAT70N TO <br />3E P�STED CN JOBSITE. <br />CAL� EPIGWEERING DEPT. 259�i3811 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curn & Gutter <br />Sidenalk <br />Inspector's Signature <br />s <br />11180 <br />Dai� <br />Fe !} � <br />�� <br />Dept. Approvals <br />Communications <br />Apprwed by <br />CU3TOM=R Date Approved Y <br />