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everen <br />e <br />CITY ENGINEERS <br />EVERETT,WASHINGTON <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />10908 <br />. <br />PERMIT N0. � ' - <br />The Undersigned aR i n�: .-� ` <br />Hereby applies for permission to ��<E ) L�� �{-sr.� i�/ rNr ��.l,� f-�"• ^"^.ri '� 1.+r�� '��-�%t <br />� Ill � I} r/ L I'� J•/ C>'� J L/'?'' : U' i,L�J 1-� /'l77 <br />At the tollowing location 1� /�- <- y'� ` c T <br />SKETCH <br />(Work to be done) <br />CRIVEWAY SECTION <br />NO SCAI.E <br />�.- - - - --{ <br />I" LIP <br />E-3-0':}-- --- ----E-'0".1 <br />coi�v oF ri�iis n��i�� icn -iori i o , <br />6E POSTED ON JOfiSITE. �. <br />CALL ENGINEERING DEPT. 259�H81 � � <br />24 HOUf1S 6EFOfiE CONSIItUCTIOf�; <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />I n spector's Signa W rr. <br />Date <br />Remarks <br />Note: Original to Customer <br />t conv to F�i� 1, (1 �i n$ <br />1 Cepy to Insprc�or <br />The undersigned owner hereby agrees to hold and <br />save harmless the Cit� of Everett from any and all <br />claims for damages th�t may arise because of installa� <br />tion and mzintenance o( the improvement hereto <br />applied for and lurther agrees to remove same upon <br />notice from the City and to rep�ace public property <br />—�✓/' /=% � <br />Fee <br />Dept. Approvals <br />� � �='�Y�'�' <br />� J. <br />Engineers �- . <br />Ccmmun <br />Approv,ed hv� ' . . 7 � <br />� � �i-- <br />_ <br />Uatc ApProved <br />