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-_--�_ <br /> APPLICATION FOR RIGHT-OF•WAY USE PERMII' <br /> everStt � Q�n <br /> e � L <br /> CITY ENGINEERS -? ,`l <br /> EVERETT,WASHINGTON PERMITNO. Z <br /> The Undersigned .�' </Sc,'. t �],? �'"/ii,"'�L <br /> Herebyappiiesforpertnissionto[�.�xi<�i,� - - � o � /-Is�i/.�� 7' V/,.d'i � <br /> At the following location i i3 �Yi Z z.:� H �7 ) <br /> SKETCH <br /> ' (Work to be done) <br /> �:.%" - ,�'�''j F��(>!�� ��. <br /> ; , <br /> � <br /> � <br /> oRIVEWav SEC710N The undersigned owner hereby agrees to hold and � <br /> NO SCALE save harmless the City of Evere[t trom any and all <br /> r—� � claims tor damages that may arise because of installa� <br /> f' liP iion and maintenance of the improvement hereto <br /> applied for and further agrees to remove same upon <br /> �.30��------.+.3� notice fiom tiie City and m replace public property <br /> dama� thereby. ; ' <br /> �gna ure o Appl r.anY �� <br /> /���1�� � �h � �[-L[F_(/.1`{� <br /> ' COPY GP THIS APPLICATION TO � Address ��iz�r <br /> I RE POSTED ON JO�SITE. ����' ' ��L' �g '- <br /> Telephone Number <br /> � I CALL ENuINGERING DEPT.259�8811 �_ ��� ` 7 � _ <br /> , f 24 HOURS 6EFORE CONSTRUCTIONI Datc <br /> �i <br /> � CHECK LIST Fee. j d .�' <,,,, ��' i'���— <br /> Water Vaive Dept. A provals <br /> Drainage :� � <br /> Curb&Gutter Engineers � v�.� ,c+__'� ' <br /> Sidewalk Water <br /> Street <br /> Communications <br /> Inspector's Signature � '� <br /> Tratfic <br /> Planning <br /> ate i <br /> Remarks �, <br /> Note: Original [o Customer �� n '�, <br /> 1CopytoFile � 1 `�}992 . <br /> 1 Copy to Inspeator Approved by <br /> Date Approved <br />