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��� <br /> '' , , ,;,.,;:ii -• APPLICATIOM FQR RIGHT-OF-WnY U3� PERPAIT ' • <br /> � �;.\ , � : . �� <br /> t _,..�.3 <br /> .. `:vl <br /> CITY FPIGINEERS � <br /> I 5Vf{if:TT,WASHINGfOt�J,.,` , <br /> / ) /J PERMIT N0. �� • _ <br /> -hc UnJcrsi9ned__��� �� r/ � <br /> h1en:Ly applics for permi:;io�r to � _ � G / � — <br /> --�-L ✓ <br /> At �he (oilowing Iucation <br /> SKETCH _ � <br /> (Work Ic be clonc) � <br /> I <br /> - .'r�. .-- . � <br /> . .,��.. �� r. ,ca'; <br /> ' � � ' �� (' . 1��C.C� . <br /> I . <br /> ' ��:� �/�� j leg��`�` <br /> , ;� <br /> i� <br /> �,� ,. . - <br /> �L� <br /> ; —� � � �i <br /> , , <br /> . � � �� <br /> ` I <br /> DRIVEWAY SECTION � <br /> ND sCALE The undersigned owner hereby agrees to hold and <br /> r—�--- � . save harmless the City ot Everett from any and ail <br /> (�" claims for damages that may arise because of installa- <br /> L_,_��� ��P » tion and maintenance c( the improvement hereto <br /> � 30" � 'v���o tor and (unher a9rees to remove same upon i <br /> ��� notice from the Ciry and to replace public properry <br /> dam «Ihereby�� . <br /> �, �Si�nalure of Applican� � <br /> ICOPY OF THIS AFPLICP,TION TO Address �� I <br /> 3E POSTED ON JOBSIT[. `� <.(/�/J�/ I <br /> CAI.L E�GINEERING DEPT. 7598811 Telephone Number /���+�--- <br /> 24 FIOURS BC-FORE CONSTRUCTION py(T "�- �� �4 �°� I, <br /> CH"eCK LIST <br /> Waror Valve Fee —� . <br /> Draina9e •Dept. Approv�ls � <br /> Curb& Guttcr �� <br /> SidewalA Cngineers. '�, <br /> I Warer <br />� Street__ <br /> Inspeeto:'sSignaturo Communications � . <br /> Traf tic <br /> _ Planning <br /> 'n��e - <br /> Remmks ,� <br /> .-.'� 1� <br /> ' — I <br /> /1pProved by <br /> � _ I <br /> cu::rom:-:s n,�,, n�,..........� � <br />