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0- <br />CITY ENGINEERS <br />EVERETT,WASHINGTON <br />The Undersigned n L <br />Hereby applies for permission to <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />At the following location_ A32 7 %N AV f. S L. L 0 T c' <br />(Work to be done) <br />LOT Y <br />IQro�� <br />NEW RS P H. D/ <br />EDUC OF EX I <br />PNVEMENT <br />DRIVEWAY SECTION <br />NO SCALE <br />1" LIP <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT.259-8811 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK LIST <br />Water Valve i <br />H <br />DWN. BY LM <br />7- 7- 75 <br />Drainage i / <br />Curb & Gutter / � L1«I Wr lYer if q n Ps <br />Sidewalk <br />C <br />r . <br />Inspec Signature <br />Date <br />Remarks <br />Note: Original to Customer <br />1 Copy to File 10231 <br />1 Copy to Inspector <br />102 <br />PERMIT NO. /'�.. !/ <br />30' <br />/0' <br />N <br />NO SCR LE <br />to undersigned owner hereby agrees to hold and <br />ave harmless the City of Everett from any and all <br />laims for damages that may arise because of installs. <br />Jon and maintenance of the improvement hereto <br />applied for and further agrees to remove same upon <br />notice from the City and to replace public property <br />Date D <br />7S0 .,(lips /o�• 7�d'/95 <br />Fee <br />AP e ,b <br />Date Approved <br />