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everen <br />� _. � <br />CITY ENGINEERS <br />EVERETT, WASHINGTON <br />— -- - — — _ , .. -,.�, <br />APPLICqTION FOR RIGHT-OF-WAY USE PERMIT 1,11, H U <br />� PERMITNO.�C�— T� <br />The Undersigned i/iPT/��//tj � �p��/fC� <br />HerebyappliesforpermissiOnto COr✓�Yf'ii,:; �.Q _;��� jjSp' ���/i�, <br />At the foliowing locatioo� 7r0 � `i�/i' j n-. �-• <br />SKETCH <br />(Work to be done) <br />3 C.¢R <br />��s'RK <br />Gti ATER. � <br />f'h ErE2 <br />y nl <br />-� <br />� <br />� <br />75 <br />O f= F.rct <br />� I D6. <br />3Zo 7 <br />c-7-nwR E. .. <br />— N <br />. � � <br />��-'71 N ��BG✓d �� <br />� O � <br />l _ � � E�%sf' �� <br />Sewu- �1 <br />� (�,� w�i,rwRE. ky;s�r`n� p�� reway <br />`J"o 8,�. ,e E•no ✓�,v / <br />URIVEWAY SEC7i0N !1 The undersi ned owner hereb <br />NO SCA�E NGJ Y��uJhY 9 y eGroes to hcld and <br />�_ 2Q � � save hartnless the City of Everott from any and all <br />claims for damages that may ariw becauw of installi� <br />f�" LIP-�� tion and maintenance of the improvsm�nt he/eto <br />30'�_ 3p�� applied for and further agrces to remwe same upon <br />notia from the Ciry and ty rep�p public orooErtv <br />COPY OF THIS APPLICAT70N TO <br />, 9E ?OSTFD GN JOF351TE. <br />ICALL t?!GINEERING DEP7'. 259�8A11 <br />24 HOURS DEFORE CONSTRUCTION <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />Inspecror's Signature <br />Femarks <br />11180 <br />3 <br />Fe ! — <br />Dept. Approvals <br />[ngineers <br />Communication <br />Traffic_ � / '7(j 7£J� <br />—T--• <br />Apprwed by <br />CUl7'OMiR Date Approved <br />