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WAPPLICATION FOR RIGHT-OF-WAY USE PERM11 10072 <br />CITY ENGINEERS PERMIT N0. 74-I8A <br />EVERETT.WASHINGTON <br />The Undersigned l-1ILL. l 5 1-10ME5 <br />Hereby applies for permission to C 0/V .S %/eU C l- <br />25 N T <br />At the following location BOB — 91 sr p�• .S;E. <br />SKETCH <br />(Work to be done) <br />9I T PL . `. E, <br />EX15T1NG Z5 <br />CURB 4 <br />S I DE WALK <br />aos <br />N <br />24 <br />NEW CONC <br />D R AIEWAY <br />N0 .5GALE <br />{� DRIVEWAY SECTION <br />I NOS 1y� <br />tI" LIP <br />COPY OF THIS APPLICATION TO <br />RE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT- 259.881 I <br />21 HOURS R"FORF CONSTRUCTION <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb & Gutter <br />Sidewalk <br />`2'3 V 7-s <br />'pU0, <br />I' V , <br />Inspector'aSigneture <br />ateate '� <br />The undersigned owner hereby agrees to hold and <br />save harmless the City of Everett from any and all <br />claims for damag^s that may arise because of installs <br />tion and maintenance of the improvement hereto <br />applied for and further agrees to remove same upon <br />notice from the City and to replace public property <br />damaQ4'therepy. A A <br />Signature if ppli t <br />Address <br />Telephone Number <br />744 <br />Date <br />12 So is n•>� <br />Fee <br />Dept. Approvals <br />Remarks <br />Note: Original to Customer OAll <br />I Copy to File 0 Approv <br />I Copy to Inspector <br />`- e Appro d T Z(:5i 74 <br />7V <br />e <br />