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� . j n � �.v .: r�''Y�. � <br /> APPLICATION FOR RIGHT•OF•L1'AY USE PERMtT <br /> everen �O Ji��� I <br /> e � <br /> { <br /> CtTY ENGINEERS ^ -' ' � <br /> EVERETT,WASHINGTQA! F'cRMiTNO._., "� '_�._ ' <br /> .— <br /> The Undersigned�!�:>S�"� L f7)�(�!�'�_"-'LL . 1 <br /> Hereby epptics for permitsion to L nn/>+:''.� ^��' .�- ?�, � �.'}!�%•��'. _� ,}�1,�L� ': ____ I <br /> .�� / I <br /> At the following location��.- r" `�^'� .,,_/��+ ��.�'.`----- � ^.i.' '-.� r � <br /> - � <br /> � <br /> SKETCH <br /> (Work to be done) 1� <br /> .�J'G I ��Y' f ••J' ' <br /> � <br /> � � r I <br /> � ' I <br /> � <br /> �-°°� <br /> � <br /> e�� I F°� - <br /> � Q Q�� ��¢S � <br /> 0 � �� �' � <br /> ,x Q� I � <br /> b � <br /> e <br /> . <br /> f.o1VEWAY SECTION Thc undersi�7ed owner hereby agrees to hoid anA , <br /> NO SCALE save harmless the City of Everett frem any and all �� <br /> �'"--- -------� claims for damages that may arise because of installa� <br /> ��„ ��P —�1 tion and maintenanca of the improvement hcrero <br /> � � applied 1or ancl further agrnes to remove sarnc upon <br /> 30'�. , <br /> __ ,.____.___ _ . _-_„+.30'� notice irom Ih�City and to replace public property <br /> dam e fhereby. ; <br /> igna�ur of An I����'�c��� � <br /> L����� �" �'7�t .�/ TrLL�aL��� <br /> COPY OF THIS APPLICATION TO Address ' c)�u'7 <br /> BE POSTED ON JOBSITE. `�S�S'—�/�'b�� <br /> CALL ENGINEERING DEPT. 259�8811 TMephoyc Numbcr <br /> g'-i.�-_?-,�----- <br /> 24 HOURS BEFORE CONSTRUCTION Date <br /> CHECKLIST f-ce �'��. •- <br /> 7v <br /> Water Vaive Dept !{pproVals <br /> Drainage ' .c �i' <br /> Curb&Gutter ' Eagieeers �'.._;�,cc���..�. " <br /> Sidewalk Watcr <br /> Strect _ __ <br /> � Communications <br /> Inspector's Signature Trafiic <br /> Planning <br /> ate <br /> Remarks — <br /> Note: Original to Cusiomer , <br /> iCopytoFile � G992 � <br /> 1 Copy to Ins;�ector Approved by <br />