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r <br />1 <br />� <br />everett <br />'� <br />CITY ENGINF.ERS <br />EVERETT.WASHINGTON <br />Thc Undersigned <br />Nereby appl:es for permission to <br />APPLICATION FCJR RIGHT-OF-'NAY USE PERMIT <br />��300 �d� <br />� ,�,��"lE <br />-� . .-� <br />FERMITNO. % �� G /`�" <br />,, � . <br />, `. <br />.� ., . � � _ � <br />� . _. . . . � . � "L- / . � <br />!= / <br />At the following location � � j � --=� -� � - " ' ' <br />IWork to 5e done) <br />�Y' = <br />� � <br />� i <br />f`^ -a'.% -s I <br />DRIVEWAY SECTION <br />NO SCALE <br />� L/' � <br />�� +�I" LIP <br />I 3n�� I } 30" <br />�"=�Y <br />COPY OF THIS APPLICATION TO I <br />BE POSTED ON JOBSITE. � <br />CALL GNGINFERING DEPT. 259�8811 � <br />2d f-i0UR5 9Ef-ORG CONSTRUG1lONi <br />CHFCK LIST <br />Water Valve <br />Do�inage <br />Ca� i; ?i Gu[ter <br />5idewa�k <br />Inspector's Signature <br />at-�— <br />Remarks <br />hote: Orig�nal to Customer <br />1 Copy to File <br />1 Copy to Inspector <br />� .�- <br />� � ��' �; ��r:_ <br />� <br />_, �t �v�:.:, , , <br />/..; .� <br /><�_.. . b �, . -.�:: ,� , zJG i ,�--;K�.' � /,= �;/•� `� <br />The undersigned owner hereby agrees to hoid and <br />save harmless the Ciry of Everett 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 furthec agrees to remove same upon <br />notice from the City and iP repiace public property <br />da ipged thereby. 3� <br />` �, r <br />Sigga' ��f Appli�D / _ �� <br />� / . �.ir��� <br />De t p val / <br />% � / <br />Engineers f�� '� <br />Water�' y 2F ,�Pa /L, ei-Se`N .Q-P?� : <br />Street��%� `- !� _ �� <br />Communicaiions T— <br />i <br />Traffic � � � ` <br />c ) <br />Planning_� � / 2 ' [o <br />�CF.. i� _ ..., <br />�'! � � V APproved U. 3 ,� / <br />i � //b <br />D�ate Ap rwed <br />