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.. ;' <br />l,r�; <br />evrrett <br />APPLICATION FOR fi1GHT-OF-WAY US[ PERMIT <br />� e 11098 <br />CITY ENGINEE <br />RS � <br />EVERETT.WASN'NGTON �� <br />*� PERMITNO. �� G � <br />TheUndersigned f"�A{�C T�r�{ � \ c"ib�,:T yL�VL.. <br />Hereby applies for permission to _ �'c,t�Sr � , � -r- H ] {' L ��U�-- �j��v' [JA�/ ��� � <br />_1V�� /�' c'I� U(' F �� �I�T bK/',77/L.'q /Cb/1-�_ <br />At the following location_ �' 2- D/ �^�D _� , S, 4:r_� � _ <br />SKETCH <br />(Work to be done) <br />•� <br />DRIVEWAY SECTION <br />NO SCALE <br />� . � - � <br />�-1 �•� LIP � <br />30�T - � � � -- - - � -.�+30 � <br />COPY OF THIS APPLICATI— pN 7p <br />BE POSTED ON JOt3SITE. <br />CALL ENGINEERING DEPT. 259�8811 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK LIST <br />Water Valve <br />Drainage ' <br />Curb & Gutter <br />Sidewalk <br />inspector's Signature <br />iSatc <br />Remarks <br />Note: Original to Custo+ner <br />1 Copy to File 110 9 8 <br />1 Copy to Inspecror <br />�fr." r?�AcH�"�J <br />/ <br />� <br />1�-: <br />-� , � �� :• .v�. ���a i c ,r-,� i <br />The und�rsigned owner he�eby agrees to hold and <br />save harmless the City ot Everett trom any and all <br />claims tor damages that may arise because o( installa• <br />tion and maintenance of the improvement hereto <br />applied for and further agrees to remove same upon <br />notice from the Ciry and to replace pu6lic oroaertv <br />� 7 r= - <br />Dept. Approvals <br />Engineers <br />Communications <br />Planning <br />AF.�roved by <br />A <br />