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C�crcll <br />;ITY CNGIN[ERS <br />EVERETT, WASHINGTON <br />APPUCATIQN FOR RIG!iT UF•WAY USE P[RNIIT <br />11a�� <br />PEFM17N0. �� >-7-1 __ <br />fhe Undersigned �/1/!(F /i�7�1����P <br />�arebyapplicsfnrpermissionto �nNST�v�T fl ,?Q � /.��/✓'l�=Tt- �� <br />\t the following la:ation S/ S"' �C/ sT r..r <br />�KETCH <br />N'ork to be done) <br />SE.� �%'%RCN80 <br />L�� �n <�D�iS�"i�'-c� <br />�,Gu.-/��er'�' '�'n^'`f ,�e �,'Pa;a'�- <br />DRIVEWAY SECTION <br />NO SCAIE <br />� � <br />jl" LIP <br />� 3n•• I �- _�_30"_I <br />r�=�r- <br />:OPY OF THIS APPLICATION TO <br />3E POSTED ON JOBSITE. <br />:ALL ENGINEERING DEP.T. 259�8871 <br />!4 HOURS OEFORE CONSTRUCTION <br />:HECK LIST <br />Vater Vaive <br />)rainage <br />:urb & Gutrer � <br />�idewalk <br />nspector's Signature , <br />tema�k: <br />lots: Original to Customcr <br />, ���Y =� F��Q 110 3 5 <br />1 Copy to Inspector <br />The unde•signed owner hereby agrees to hold and <br />save harmler: ;h^ City of Everett from any and all <br />claims for da:-n 3yes that may ari:e because of installa- <br />tian and maintenance of the improvement hereto <br />applied for and turther agrees to remove same upon <br />notice from the Ciry and to replace public property <br />da�m ere �7 <br />!. � �� <br />I dIVf�Il 7 <br />� (�[ <br />Address <br />_�3 - 6 Soo <br />Telephone Number <br />ia-��-� � <br />Oate <br />Fee ��� i <br />�Dsept. A provals <br />Engineers L %1 `µ� =�+'� <br />Communicationt <br />ADProvea by <br />Dete Approved <br />