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/ ' <br /> everett APPLICATIUP! FOR RIGH.T-OF-WAY USE PERMIT �, ,� � �.• Y}, <br /> , � — -- <br /> .� C ':' <br /> . <br /> � CITY ENGINEE9S <br /> EVEflETT,1NASHIIJGTON PERMITNO. ; E' '�: ; <br /> The Undersigned � .� �___ - <br /> Hereby appiies tor permi:sion to�__; ' � �� . ,, � � <br /> ' �, � _ <br /> At the following loca[ion � ' �+ �� <br /> SKETCH <br /> (Work to be done) <br /> DRIVEWAY SECTION The w.der,igned owner hereby agrees to nold and <br /> NO SCnLE savz harm�ess ihe City oi Evrrett irom any and all <br /> �-----" --"- --- �- claims(o� dai��ages tha[may arise because oi installa- <br /> __ � <br /> ---���� ��P �ion and maintenanre o( the improvement herero <br /> L�o,� ,— ---�3,,, i applied for and further agrees to remove same upon <br /> , . notice from the Ciry and to replace public property <br /> damaged thereby. <br /> '��,:i., , r . !� .';_�'� .?�_�', <br /> Signatureo�Appiican� � � - � <br /> i COPY OF THIS APPLICATION TO AA�ilres5 ' <br /> I �E POSTED ON JOBSITE. `-'��-�f_� . n- `� a- G f'j � : <br /> Telephene Number - ' <br /> CALL ENGINEERING OEPT. 259�8817 _� � � _ •7 V� y __ <br /> 24 HOURS BEFORE CONSTRUCTION Date � <br /> , . -� ----------- " . - . �:� <br /> CHECK UST Fee <br /> Wacer vai�e Depc. Approvals <br /> Drainage . ., , � <br /> Curb&Gutter Engineers�_,�� � � <br /> Sidewaik � � <br /> Water_ <br /> i ^ Street_ <br /> _����,'21,1.�---— Communications <br /> I or'sSijnature <br /> � Trattic <br /> �-7 �,�;. / pJ� q <br /> Planning <br /> Date 1 — <br /> G7."'t�vOL- O CoNc C�+l�r3 i �� -- — <br /> Remarks — <br /> ,= ,_�� c T�, ,�- � .,� s11125 <br /> � <br /> n <br /> (� � C�if�P-C- � �_i'L - APProvedby.,.. . _, \ _:�_I���. <br /> ,, r, ( � �,��i <br /> Date Approved ' B <br /> INSPECTOR'S COPY ��. � � . �I""��1, <br /> _._ _ _ - _. __ __ __ J <br />