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�������� <br />� <br />I.ITY ENGINEERS <br />F�:VERETT, WP.SHINGTON <br />The Uncleisigned �����Fy <br />Herr!�y applies tor permi;sion to <br />At the following location� <br />f--� <br />SKETCH <br />(Work to be donel <br />APPUCATION FOR R' ;HT-OF-WAY USE PERMIT <br />110nt, <br />ORIVEWAY SELTION <br />NO SCALE <br />�. .. _ . . _ __ — .. . _ . . -+i <br />�II„ LIP <br />:�30.� r _ I 30"N <br />.1. <br />Ni O( I11�5l�PPI Il:nllUFl I�� <br />i'USTEU ON JUUSITE. <br />� rNawEreiNr,nrrr a�,n���� <br />,..,�:�i�,ii�u�� cnr;�.�:i;i�,.�i�r..; <br />CHECK LIST <br />Water Valve <br />Draina9e <br />Curb & Gutter <br />Sid�walk <br />Inspector's Si9nawre <br />nnlc <br />— __. _ <br />Hrmaike - _ _ _. <br />��„h� �h��pnaltoCustomer <br />,,��,��<<,���,. tl.nn5 <br />� � ,.,�; �„ ����.,���, ��,� <br />PERMITNO.__I_ �_- . -- -- <br />Thc undcrsigneA �.vna� hereby agrees to hold and <br />save harmless the Ciry ot Everett from xny nnd all <br />claims for damages Ihat may arise because of installa� <br />tion and maintenance of the imProvement herem <br />applicd for and lur�her ayrees to remove same upon <br />notice 1rom Ihe City and to repiace public propeny <br />dama�ged,iherr.by.�. <br />Signafure��AP� ir�ty/� ����— — <br />Address � , <br />` �, ��—./�� ��� �,- <br />elrph ne Number � <br />`c'-t 2— U� �-- -- <br />oe�e <br />Gj_ ;t�_ �7 <br />-- sz--� ----- <br />Fee ' <br />��Dept. Ap�ii6 als <br />Engineers__�'_ .!/�_f_t�'.<,.� _. - _--- <br />�.�...... _ <br />Stieet_ —__ _ — - <br />Communicn[ions -- <br />Traffic_.__._._ . <br />Plnnninq. __ - <br />n�,,,�����i i,� <br />n�,�.. �ni�,,�������i <br />