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�� <br />t�--� <br />� <br />CITY ENGWFERS <br />CVERETT,WASHINGTGN <br />The Undersigned <br />- APPLIL'A; ION FOR RIGHT•OF-WAY USE PFRrniT � i y �� 11�/` <br />. � ,��, <br />- . PERM111TN0. ��'�%3 <br />applies for permission to <br />At the tollowing location. .�.oT" �/I%ri.� ,—hv,c�_ ✓'/ vc� 1 � <br />�i� � � 7 ��— ,� <br />SKFT!`H <br />(Work to be danel <br />DRIVEWAY SECTION <br />. NO SCALE <br />r•-- --� <br />[ � � I" LIP <br />� ;��� -_��30" <br />r � <br />ICOPY OF THIS APPLICATION TO <br />Pc POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 25d�637? <br />24 F10UFS BEFORE COVSTRUCTION <br />CHECK iIST <br />Water Valve � <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />Inspector's Sigr,ature <br />Rr.marks <br />sfE /i :r�jcft..o <br />1.11� 3 <br />c:'- <br />The under,i9ned o�vner hereby agrces to hold and <br />save I;armless thc City of Everett from any and al� <br />cla�ms for damages that may arise because of installa- <br />tion and maintenance of the improvement hereto <br />applied fur and furiher a9rees to remove same upon <br />notice from the City and to replace public property <br />a -��--�a' <br />Date <br />��Fee �L .c� ��� •%v� 7 y —_ <br />(� � pept. Adni�v I <br />��taeets J C' ' 1 c� �t ce._ <br />Watcr <br />Commun <br />Plann <br />C�-- — — <br />APProved 6 � {} � II <br />_�_1_) L{ lf �-�f.-tt'��_[I�LlLCC1l LT <br />D.iir P.��proved � I_ I��L I_' y> a <br />1 n <br />