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�� e <br />CITY ENGINEERS <br />EVERETT,WASHINGTON <br />'ITie Undersipned r , .1 :'t: - <br />Herchy applies for pertnission to �_ <br />At :he followinp <br />(Work to he done) <br />AP�_,L�CATION FOH RIGHT-0F•WAY USE.==RMIT 116 3 0 <br />R�-c�,�Ds ��u��c��Tc: ��f�r�r <br />7�1�' C' /T;� cc,if? rc.�' I��17 �r2 <br />�`�fI Y .C�� �ac,f1�.� l� � <br />/I />j,�t'CX, ,: . ti 5 t;�-�T <br />�`s'� f//rvlb SlDc l.UriGK-- <br />PERMIT NO. �J E /.�,% R � <br />� r� . I <br />,: <br />i <br />� I, <br />� �-- _--- <br />� <br />r <br />� <br />-N� 7i � y G(�� � c',C' ���=P� � y <br />��J�.S C�-G. �3�1``Q/GF��i/lJ� `a <br />r� - � _- _._ <br />� ,� 11;'' i 1;�.''%, (1_ % � �- i <br />��L..'i � � , ,. � �/ ��� � <br />: <br />i E <br />�: { • i ,- . . -. i' <br />S-o � r <br />�,�,�,�rr �;ti_ <br />,�`'% y8�� �ctin 4^,•�i��t/, �/ihi�,L.tiMF: <br />�"_---- —"=_—_T'—.'_ <br />I` <br />m <br />a <br />Si�l�'. lY;o �/'.. <br />s Fr t=� f) , ,. _. ,� , f <br />, (�_ F--� h ;�L=-� A , � r. if �f?c'.P_ ��, ._ .'/c���«'\ <br />� �1 . � i . . , . <br />DRIVEWAY SECTION <br />NO SCALE <br />� � <br />I" LIP <br />30" _�30" <br />COPY OF THIS APPLI.^ATION TO <br />BE POSTED ON JOBSITE. <br />CALI_ F.�JGINEERING DEPT. 259�8817 <br />24 H(1URS BEFORE CONSTRUCTION <br />CHECK LIST <br />Water Valve <br />Dreinage <br />Curb & Gutter <br />Sidewalk <br />Inspector's Signamre <br />ate <br />Remarks <br />:I.i�;� 0 <br />The undersigned owner hereby agrees to hold and <br />save harmless the City of Everett from any and all <br />claims for damages that may arise because of installa• <br />tion and mainrenance of the improvement hereto <br />applied for and further agrees to remove same upon <br />notice from the City and :�i replace public p�operty <br />damaged thereby. <br />Signature of Applicant <br />Telephone Number <br />Dept. Approvals <br />Water <br />Communica[ions <br />Plann <br />Approved by <br />Date Apprwed � � <br />