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evereN <br />CITY ENGINEERS <br />EVERETT.WASHINGTON <br />The Undersigned <br />Hereby applies for permission to <br />APPLICATION FOR RIGHT-OF-WAY USE PERMIT 11192 hl <br />PERMIT NO. 7YS - / (' tI <br />At the following location_ <br />SKETCH <br />(Work to be done) <br />8�1ay � r <br />�r <br />M <br />' a-PHa4n< tcwc. <br />to ADD'6. R/W -To rsm <br />Y�-Go4E Ex. PV'T. OEDIa^TQQ <br />Fx151; 8"ABC. 41TIZ-NVuV / <br />EK.'yw. MAJ Do c Tr, .. Ex, S w M, N, s <br />r� � <br />DRIVEWAY SECTION C <br />NO SCALE <br />tl" LIP <br />30' <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT.259.88111 � <br />24 HOURS BEFORE CONSTRUCTION �• <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb d Gutter <br />Sidewalk <br />J/Z <br />Inspector's Signature <br />//ZG <br />ate <br />t,) <br />-f�Q Irt 10 /IPuJ <br />dreg#.,i;I-e <br />G`uc L"r',f j <br />11.1-92 <br />I. <br />The undersigned owner hereby agrees to hold and <br />save harmless the City of Everett from any and all <br />claims for damages that may arise because of installa- <br />tion and maintenance of the improvement hereto <br />applied for and further agrees to remove same upon <br />notice from Lie City and to replace public property <br />damaged thereby. <br />Signature of Applicant - <br />Telephone Number <br />Date <br />Dept. Approvals <br />Engineers -_ _-____ _ <br />Street __ <br />Communications - <br />Traffic _ <br />Planning __ <br />Approved by <br />INSPECTOR'S COPY Dale Approved <br />