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e APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />eve: ctt .. U t) 7 3 <br />CITY ENGINEERS 74 -185 <br />EVERETT. WASHINGTON PERMIT NO. <br />The Undersigned HILLIS HOMES <br />Hereby applies for permission to CONSTRUCT 25' CONCRETE LDRIVEW<)Y' <br />At the following location 70 (v - 9/ SrPL. 5.E _. <br />(Work to be done) <br />915T PL. S.E- <br />NO -SCRLE <br />DRIVEWAY SECTION <br />NO SCALE <br />11" LIP <br />-EXI5T/N6 CURB E <br />SIDEWALK <br />NEW MCRErEDRIVEWAY <br />704 70(0 7�8 <br />n <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 259&8811 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK LIST <br />Water Valve 16 <br />Drainage <br />Curb & Gutter < <br />Sidewalk <br />I nspectar's Signature <br />18 1 19 <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 installe <br />tion and maintenance of the improvement hereto <br />applied for and further agrees to remove ssme upon <br />notice from the City and to replace public property <br />da t reby. <br />Slgnat re of App Want <br />Addre s <br />1�3- c613 <br />Telephone Number <br />74 <br />17WN: Date <br />�12 50 � � /� • /7� 7�// <br />f m Fee <br />Dept. Approvals <br />Pt, <br />1---- — — <br />Remarks <br />Note: Original to Customer /� <br />1 Copy to File 10073 Approve ! <br />1 Copy to Inspector d <br />1� <br />Date Approve <br />