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everen <br />e <br />CITY EN.,INEERS <br />EVERETT,WASHINGTON <br />The Undersigned _._ <br />Hereby applies for permission to _ <br />At the following <br />(Work to be done) <br />:4PPLICATION FOR RIGHT•OF-WAY USE PERMIT <br />� <br />� � _._.._ � <br />�`�� `� - <br />_ ; � . ,, � <br />4 ,� <br />,, �- <br />��, <br />, ,� <br />� �� I ��' <br />�I,i --,\\; \- <br />i,,, <br />�� � � <br />� . ��f <br />�� �� � i <br />:� <br />�:��, <br />l�� <br />. ;, <br />_. ' �� � ���, ��Y .! ��� <br />i� <br />/ � -...,.. ____ �qei <br />, .I�', � <br />—^�--- .,..._�_�._ � . <br />r r,. >s,l� __\ � <br />� / <br />10655 <br />PERMITNO. . � � - '��-' <br />DRIVEWAY SECTION <br />NO SCALE <br />� � <br />— ��� I IP � <br />30" — _—__.__�'i�30,�1 <br />', COPY OF THIS APPLICAI'ION TG I <br />�� [3E POS7ED ON �06SITE. � <br />� CALL ENGINEERING DEPT. 759�881 I I <br />. 24 HOURS REFORF CONSTfiUCTIOtJ �I <br />�'� CHECK UST <br />�, Water Valve <br />Drainage <br />; Curb & Gut[er <br />�� Sidewalk <br />�� �./���..-�-- <br />Inspector'sSignature /� <br />—. �L_r�7 7 -- <br />Datr <br />Remarks <br />No�e: Original to Customer <br />, �oPY �� F,�� �. 0� 5 5 <br />1 Copy to !nspector . _ <br />The undersigned owner hereby agrees to hold and <br />save harmless the City of Eveiett from any and all <br />claims for damages that may arise because of installa� <br />tion and maintenance of the improvement hereto <br />applied for and further agrees to remove same upon <br />notice from the City and to replace public property <br />da aged thereby. � <br />�it;r-,' /I /. �i....-' r. . D �_ <br />. 7';�,�, /�.(�i`� , " �'� . ��/ L � � <br />;-,� � <br />Telephone Number �C __- <br />r/ S j - /� j.i <br />Date / � <br />�,- - _ ,G <br />Fee <br />Dept. Approvals <br />Engineers__ -_ � � - <br />u�...,,. � . . . . <br />Communications _ <br />Approved by <br />Date Approved <br />a <br />