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.� <br />; <br />: ,, �e„. _ _ <br />. ���1 <br />CITY ENGI�EERS <br />[VERETT. w 4SH W GTON <br />The Undersigned _ ! 7 ' <br />Hereby appiies far permission to <br />At the fol�owing <br />API'UCA-fION FOR R13HT•OF•WF1Y USc ?ERN�lT � � v � � �` ' <br />� • .. . . _� . �N c : <br />�r� �,r- ���� .. <br />.% �" p ! rt <br />� �!- " �i�.M��" �rNo. 78 a 9 <br />[! <br />SKETCH <br />IWork to be done) - ,/ <br />�,, L j7Jl��w • .% ���""�J`. <br />�'��" <br />' � �jl'/ 4� <br />�RIVEt4AY SFCTI�7�J <br />NO SCALE <br />�z � <br />I" LIP <br />L3� � I 3_� <br />i ��• <br />CO°Y OF i4IS APPUCFlTICN TO <br />BE PGSTED ON J06SITE. <br />CALL ENGIN�ERING DEPT. 25&8811 <br />24 HOIiRS BEFORE CONSTRUCTIOIJ� <br />CHECK LIST <br />Wator Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />In_�er.[or'S Signature <br />a t—I�e <br />fler���rks <br />11388 <br />i� <br />a <br />.Z <br />���� <br />�� <br />The undersigned owner hereby agrees to hold ar;d <br />save harmless the City of Everett from any and aJl <br />claims for damages that may arise because of installa- <br />tion and ma'ntenance of the improvement herelo <br />appliE�i for �nd further a�rees to remove �ame upon <br />noti�e ;�� ihe Ciry and to replace publir, property <br />damaqe�l i'?�iebY� //�.�� � <br />.,��,��, � s:t- >>ov 'y�'��y <br />Telephone IJum6er <br />/C-�'�� <br />Date <br />Dept. Approvals <br />Ccmmunications <br />Planning <br />Approved by <br />CUstTOMEfe Cate APProved . . 0 �. <br />r <br />�") <br />