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APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> cverett <br /> e � � ��- . <br /> CITY ENGINEERS <br /> EVERETT, WASHINGTON PERMIT NO..__ _ _ __.__ <br /> The Undersigned_ _ — - --- ----- <br /> Hereby applies tor permission to _-- — <br /> At the tol�owing location -- -- ---- <br /> SKETCH <br /> (Work to be done) <br /> DRIVEWAv SECTION The undersigned owner hereby agrees to hold and <br /> NO SCALE save harmless ihe City of Everett irom any and all <br /> I� — -- - -� claims for damages iha[may arise because of instaila� <br /> � tion and maintenance of the improvemunt hereto <br /> \ (I" LIP � applied for and lurther a9iees to remnve same upnn <br /> I }0'+ —T �3o'� notice from the City and tc replace pv.blic property <br /> �_ damageA ihe�eby. <br /> Signature of App icanT t � <br /> I C(iPy Of THIS N'PI II:A I IO': I r i Address <br /> dE POSTED ON JO[i511 L I Telephone Number <br /> CALL ENGINEERING DEPT. 259�BIi1 I i ' . <br /> (7A HOURS 8[F-ORE CON;TRUCTIOfd� Date <br /> GHECK LIST Fee <br /> Wate� Valve Dept. ApproVels <br /> Drainage <br /> Curb&Gutter Engineers ____-- <br /> Sidewalk Watr.r __ <br /> -�---�-- Sireet -- - <br /> -- ._— � --_ .. . .__. _. <br /> Communications <br /> Inspecror's Signature T�affic___ <br /> Planning _ . <br /> _ . _. _-- . .... <br /> 6a te <br /> ---- - — - - ._ . . _.. _ ._ .. <br /> Rei��a�ks <br /> Approved by <br /> ___ '---_... ___—_-_.___-_-__... <br /> Datc Approved � <br /> �� <br />