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everen APPLICATION FOR RIGHT-OF-WAY (ICE PERMIT <br />11289 <br />CITY ENGINEERS <br />EVERETT, WASHING(TON PERMIT NO. <br />The Undersigned _ /�'/(- l i Il A ! 'e2- <br />Hereby applies for permission to Zi >, vt r- <br />At the following location y / (C 91, !- - ---- <br />(Work to be done) <br />A7ii4z!►fuD DR)4wl uG s,yows /�cJs 6 ,ZeuBr� B.3,I� f=R orv. <br />NCLIJ IT 4,-A5 FsviLT, /V'd /V&E'D -0 1=/1 fsE �ivL� <br />l3 Fm Us I T'; N o w hj&R---E 7t/641L- TN E VIC- I vC-(AJ 4-1 <br />DRIVctA�Ay otiLy <br />NO T' oN is 1-7 <br />i Ac«e—' 17". <br />G a aS 7-6 F Kd e GF2-77 <br />Y 1 <br />_ -II„l II✓Lk� -i� (,Falk <br />DRIVEWAY SECTION <br />- NO SCALE_ <br />II�---- 1—I" LIP I%0 <br />f�pT-- <br />COPY OF THIS APPLICATION TO <br />BE POSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 2598811 <br />24 HOURS BEFORE CONSTRUCTION <br />CHECK LIST <br />Water Volvo <br />Drainage <br />Curb 9 Gutter <br />Sidewalk <br />In c r' igrature <br />aL Ft" 1579 <br />te -- <br />Remarks <br />11289 <br />INSPECTOR'S COPY <br />LING two <br />S / T 5 tiId PA.) <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 />lion 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 />damaged thereby, I "� <br />Slgnat re b pp icon9Q,,�_ <br />' 1 141 <br />it <br />Addresi~ <br />r1 <br />Telephone Number <br />Fee <br />Dept. Approvals <br />Engineers -- <br />Communications <br />Approved by '✓ ` <br />_ r `L_ <br />Date ApprovedGs <br />i <br />ti <br />