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everett <br />� . .e� <br />CITY ENGINEERS <br />EVERETT, WqSHINGTON <br />�.� <br />The Undersigned � ��� <br />Hereby appiies for pertnission to <br />At the following <br />(Work to be done) <br />se� <br />;,;, <br />APPLICATION FOR RIGHT-OF-WqY USE PERMIT '��.� 8� <br />c0 <br />DRIVEWAY SEC710N <br />� NO SCA�E-- <br />j�--- _� <br />� ��� LIP —�� <br />30 <br />---�--._.___—�30" <br />i �fo �i � ��a,y� <br />—.�"1� L..� �i W c <br />-� ?_�1 __� A -�Y <br />S k�d-�,. <br />j COPY OF THIS APPLICF,TION TO <br />3E POSTED ON JOBSITE. n <br />CALL ENGWEERING DEPT. 259-8871 '^ j r n n n nn � n <br />Iz� HOUqS BEFORE CONSTRUCTION ���� IJ <br />`_ _-----__ __ <br />CHECKLIST QPR 2 1 ��l'8 <br />Vlatar Vafve <br />Drainage CITY OF EVERETT <br />Curb Fi Gutter Inspection <br />Sidewa�!c Dept. <br />Inspector's Signature <br />Remark- 5 -- <br />11184 <br />.. J .V:._'�.. <br />��U37'ONISR <br />PERMITNO._�� <br />� ��� <br />_ y-zr. <br />;;:_;: <br />4;; <br />J <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 fm� and further agrees to remove same upcn <br />notice from the City and to rep�ace public properry <br />dama�d �ha�or,�._ _ <br />L <br />. i- e . <br />Fee <br />, � �� :, � , <br />y,�'D ept. Ap rovals r ���,�`) <br />Enninm.� � y <br />Communications_ -- <br />T�..[rt_ <br />Approved by <br />—� <br />Date qpproved <br />� <br />� <br />