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APPLICATION FOR RIGHT'-OFWAY U:,c PEP.MIT . _ <br /> evcren – - - - ' <br /> - e _ � <br /> CITY ENGINcERS <br /> EVERETT,WASHING7pN PERMIT N0. _ <br /> llie Undersigned , <br /> Hereby applies for permizsion to � " <br /> r� <br /> 3 - <br /> At the toli�owing location <br /> SKETCH <br /> '(Work to be done) � � . -- . � � . � <br /> `; r <br /> - J ,�_�?}l�-%1P ,_ <br /> ORivEWAY SECTION The undersigned owner hereby agrees to hold end <br /> No 5cn�e . � ' 1 � �.� save harmless the City of Everett from any and ell <br /> {�. --. — . -- ---- "y' '/�n•� claime for damages that may arise becauu of ineUUb <br /> � / I N"J tion and maintenance ot the improvement heroto <br /> — — <br /> �I" LIP � �t� ��/�� applied for and turther agrees to remove ssme upon <br /> �—�_---__ 30., v <br /> �3U . y J notice trom tF�e City and tu replace public property <br /> damaged thereby. <br /> Signature nt Appiicant <br /> � COPY OF THIS APPLICATION TO � Address . � <br /> I, BL POSTED ON JOBSITE. I Telephone Number <br /> CALL ENGINEERING DEPT. 259�8811 <br /> 24 HOURS BEFORE CONSTRUCTION Date _ �. <br /> CHECK LIST Fee <br /> Water Valve Dept. AppfoVals <br /> Drainage <br /> Curb& Gutter Engineers <br /> Sidewalk Water <br /> Street <br /> Communications <br /> Inspector's SignaW re Traftic <br /> Planning <br /> �te <br /> Remarks <br /> Approved by <br /> Date Approved � <br />