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everett <br />� <br />CITV ENGINEERS <br />EVERETT,WASHINGTON <br />The Undersigned _ <br />Hereby applies for permission to <br />At the �ollowing <br />SKETCH <br />(Work ro be done) <br />APPLICATION FOR RIGHT-OF-WA!' USE PERMIT �; �� 7 <br />—' i t c•i•: i`J <br />� ��SrE� r <br />tU�n <br />• r <br />�. - ��' <br />, �` -L�At T <br />r7� � ,-rr � f- -r <br />D4IVEWAY SECTION <br />NO SLALE <br />__ _— J <br />_— —._ _ _... _ i <br />� II" LIP � <br />�30�__ ___ _ . . I 30 I <br />�t' '1 <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JO(3SITE. <br />f.ALL ENGIN�[RING DEPT. 259�8811 <br />24 HOURS BEPORE CONSTRUCTIOfJ� <br />CHECK UST <br />Water Valve <br />.,: ainage <br />Curb & Gutter <br />Sidewalk <br />Inspector's Signature <br />L 1� <br />PERMIT N <br />i:tL it( if1� tic� <br />7'r : ('S F ?JG7" r f� F r� TO L- � <br />l"he undersigned owner hereby agrees to hold and <br />save harmless the City o( Everett from any and ail <br />claims for damages that may arise because ot instolla� <br />tion anA maintenance of the improvement hereto <br />applied for and further agrees m remove same upon <br />notice from the City and to rr.place public property <br />damaged thereby. <br />Signature of Applicant <br />Telephone Number <br />Date <br />Fee -- <br />Qept. App�ovals <br />Engineers_ <br />Water <br />Street <br />Commimications_ , <br />Approved by <br />Date qpproved <br />0 <br />