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i <br />__—� <br />..� <br />evcrett <br />� <br />TY ENGINGf-RS <br />�[R[TT, W�StIINGTON <br />�e Undersigned 'r cV N/y <br />�rc6y applic; for permission to <br />— �PPLICATION FOR RIGHT-OF•WAY US[ P[RMIT <br />thc following location_� Z/ 7 .�/ �� �?— 7S �_ <br />'ork to be donc) <br />`�EE i¢7"%Rcit�� <br />�,� fo Golvatirr�� <br />,��" � � <br />Cu/t�eJ'f` %�� <br />DRIVEWAY SECTION <br />NO SCALE <br />~-- � <br />�_ (1" LIP <br />= �I-----�--------I-30'�I <br />OPY OF THIS APPLiCAT10N TU <br />E POSTED ON JOBSiTE. <br />ALL ENGINEERING DCPT, 25�J 8�11 <br />I HOURS BEFORE CONSTRUCTION <br />11ECK LIST <br />'ater Valve <br />raina9e ' <br />urb & Guttcr , <br />dewalk <br />npecWr's Si�nature <br />�te: Original to Customrr <br />� c���v i�� ra�� 1 i� n�� <br />1 Copy �a Inepcc�or <br />1.G��3 <br />NERMIT NO.��=,� %O <br />i <br />� <br />I <br />The undersigned owncr hereby agrees to ho�d and . <br />save harmless the City of Everett irom any and all � <br />claims for damac,es ihat may arisa because of installa� � <br />tion and maintenance of the improvement hcreto � �� <br />applicd for and turther aarees to remove same upon I� <br />pOTiL•'t�irom the City ana !Tu�ace puhiic properry I� <br />"""`�" T� Ac. e s c <br />S�rl 35 � <br />es� <br />,i��,E�(-Z, wqSG. �tflo(! <br />uaie / <br />� ,4� /n� <br />Fce <br />Dept. Approvals <br />Enpinccrs _ <br />Communications <br />Plannin9 <br />n�i�,rovetl I�y <br />