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�����n <br />e <br />CITY ENGINEERS <br />EVERETT.WASHINGTON <br />APPLICATION FOR RIGHT•OF•WAY USE PERMIT <br />2667� <br />PERMITNO. '�" '—� <br />Thc Undersignetl li�l � �,,. l,h �., _ i � � I-�... � - . ) _ <br />Hereby applies for permission to 'r^ n�7` r�- t -+ �.S � f�; i��5a%f� (>/'-J — <br />� � <br />At the (ollowing loca�ion <br />(VJork to be donej <br />�_.�-1 <br />. ; <br />ti. <br />�,. <br />�/�'. 5Ys1�- � <br />��a7E � 7 <br />GRIVEWAY SECTION <br />NO SCALE <br />� � <br />I" LIP <br />�30'i,-.. -'__ .—..___�30,"I <br />COPY OF THIS 11PP�_ICATION TO 1 <br />f3E POST[D ON J0651TE. <br />�, CPLL GNGIh:EERING DEPT. 259-8817 <br />�� s'��, N(�URS 13E1=0RE CONSTRUCTION <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb ;a Guttcr <br />SiJew�lk _ <br />Inspector's Signature <br />Reinnrks <br />Note: Origi�nl to Customcr <br />t corv �o F�i� 1. n f�? a <br />1 Copy to InsPector <br />i � i t�¢r/�J�a: <br />�„K <br />The undersigned owner hereby agrces tu hold and <br />save harmless the City of Everett from any and all <br />claims lor damages that may arise because of installa- <br />tion and maintenance of lhe imprcvement hereto <br />applied for and further agrees to remove same upon <br />notice from the City an-' to replace public property <br />Dept. Approvals <br />Enginecrs = �'��•��f�v�r /��79 <br />Water_ % n.j� '� l�J„ i / � - <br />' <br />Communications <br />Planning _ _ <br />i � <br />_ ✓ .:'`-j -- <br />Approved by <br />Date Approved <br />