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everen APPLICATION FOR RIGHT•OF-WAY USE PERMIT � <br /> 10795� <br /> e ��... <br /> CfTV ENGINEERS <br /> EVERETT,WASHINGTON PEflMITN . � � /;,% )� <br /> � <br /> The Undersigned._�i r=.�� � [ <br /> He�ebV applies for parmission [o_� . , I '{ u � ,a ,.:��;':� . t i. �' v�f . <br /> At the fo�lowing location �' +� � � � ,i.+ .� " ' <br /> SKETCH <br /> � (Work to he done) ��� <br /> ,. � . .. . r} �1 j•f;.. !a ,.,� � % ��I <br /> � I <br /> I <br /> I <br /> i <br /> I <br /> j <br /> I <br /> i <br /> I <br /> I <br /> � I <br /> I <br /> ��� DRrvEWAv SECT�ON The undersi9ned owner hereby agrees to hoiQ and I <br /> � SCALE save haanless the City of Everett from any and all , <br /> � claims for damages thet may arise because of installa� <br /> '�, f' uP � tion and maintenance of ffie improvement hereto �� <br /> � 30"�, _ 3p�� aPpfied for and furffier agrees to remove same upon �' <br /> notice from the Ciry and to replace public oroperty <br /> �� dama t reby. � <br /> . <br /> � Si nat re pp ican �'— �. <br /> ��, CfJPY OF THIS APPLICATION T� A �si�~ � � � ~! ���`p ' � <br /> '� �POSTED ON�JOBSITE. � � 3 . u,,,.� s� 3 y S �I U 3 , <br /> I CALL ENGINEERING DEPL 259-8811 � Yeie one Numbe� - ' <br /> � � L' -,�.�4P2 -� -r <br /> 24 HOURS gEFORE CONStRUCTIOM� nate,,.-, SL <br /> ___'_._ __.__ (� ./ <br /> ', CHECK LIST Fee <br /> Water Valve <br /> Drainage �ePt• APM�aIs <br /> Curb&GutMr ��'^,/�� �ngineers �' '� .. <br /> Sidewalk jly��� rtt!`� , <br /> O ���i /7J'ni ware.� ,, i , . <br /> , <br /> 5treet <br /> Inapector's S�gnature Communications <br /> Traffic <br /> Planning <br /> ate _ : , s�,, <br /> f i � <br /> Remarks <br /> Note: Original to Customer —_ <br /> 1 Copy to File 1079 5 <br /> i Copy to!nspector qpP��,�y b� <br /> Data Apprwed <br /> _J <br />