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_' E��:�.���� <br />�il � , y <br />�. <br />CI iY GNGINEGRS <br />[VERETT, WASHINGiON <br />l�Pf-L�SATION FOR RIGFIr-OF-bVAV USE PERMIT � 16 4 7 <br />Tlie UnAersiqned _ _ __ __. <br />— � -- — <br />H�rc�.y r�pplies for permission to �� L � t �� l_�'( ��� L- — <br />At thz fnllowing location <br />SI:ETCH <br />(INork to 6e done) <br />� <br />��,��? �,, <br />,.. <br />�/ , <br />PERMIT NO.,.�..L_ <br />�- <br />`� � i: <br />`�` <br />�( � �. <br />� _ � <br />i)RIVEWAY SECTION <br />NO SCALE <br />r- ----� <br />_ � 1" LIP _� <br />�:io;y—I-- yso'�� <br />� <br />�• <br />C� � <br />/ ' <br />j(:(`pY C-� f I II� :..i'PI.IC.IIION TO <br />i 11E F7�TED OfJ JOEiSITE. <br />CA � EPJGIfJE'cHING �EPT. 259�3811 .. _-- <br />24HOURSiiEFOflECONSTflUCTION �'�� .. _ .''I.I•�' i� <br />CHECKLIS"( �I��J!�� � <br />�VIIPf Valve �...� •�'{ ,., <br />G,. . <br />Drainaye . ..._ <br />Curh & Guttc� ._ � � ,_ ._. <br />Sidewalk ...CIT�: �_�,- �-�..�.�-iT <br />----- �.; ti.;;. <br />_ • .rr.�' � , �' ., <br />� <br />r' �� � . . <br />. _`CL�^L _-�— `��:_�_.__..____.. <br />Inspactor's SigraW�e <br />/ � <br />'/, -� . <br />r <br />--OaFe -- - ---------- <br /><- <br />.. (lemarks.--.—_--__--- <br />1�. ��`�7 <br />GU9TOMlle <br />The unde�signed owner hereby a9ree5 lo huld nn�l <br />sa��e harmless the City of Everett (rom anp and ail <br />claims for Aama�es ihal may arise hecause of in�.i �iL�, <br />tion and maintenance of ihe improvement heret,� <br />applied for and twther a9rees to removr. same u;�� ��� <br />notice irom the Ciry nnd to replace public propr�ry <br />darnaged there6y. � ` /-� <br />�y-- � <br />.. �' l��_`�se r • _ � �t- .�..t� � <br />Signature of AppLcant � <br />. !_�����Y����•._L!.SLL � L L <br />l�ddress <br />����c`—��� <br />Telc�hone Number <br />.�'<�S`..�...��1-_L`� 7 S' -- <br />Date <br />Dept. Approvals <br />Stree[__ <br />Communica[ions_ <br />Planning <br />Approved by <br />Dale ApProvecl —�-� p <br />