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APPLICATION FOR RIGHT•OF-WAY USE PERMIT ' <br /> ��,r.retl <br /> � 10582 <br /> CITY ENGINEERS <br /> EVERETT,VJASHINGTON PERMITNO. �7 �� � , <br /> The Undersigned . <br /> �. Hereby applies for pertnission to _ � � , � <br /> / , .. <br /> � /1t the following location i - , ' . <br /> . '� <br /> SKETCH <br /> (Work to be done) ____ _ � - ,- � <br /> � ���. '_'-- — ., „ . � , . <br /> '. I L .,, J<<.: �, ... <br /> , - • ;� JG'� L: ¢ 1�.�. <br /> .li '\ � -- — � .- 5 t l� .�,h �'C✓ ._ � <br /> � <br /> I � <br /> ` <br /> I •C �r <br /> I _— I � <br /> �^" <br /> i <br /> i �' � <br /> � <br /> I <br /> I <br /> � , <br /> i <br /> � I <br /> _. I _ — <br /> � .�rti �. ., tp c: �-Jic ��., <br /> � ..��7 /1�,��h � �.� � <br /> �/ <br /> i <br /> � ;� ��.��_ �_� ." //� � ; <br /> . r � ___.. , - ._. . ___� __._�. .. .. _ , . i� <br /> ' " . _ __'__�_—_�_._._ ._ . . . I <br /> '� � , ti . .. . I <br /> , i <br /> , � DRIVEWAY SECTION � � The undersigned owner hereby agrees to hold and �i <br /> � NO SCALE save harmless the City of Everett from any and all <br /> �-- ---- � claims tor damages that may arise oecause oi instalia� � <br /> � `�" Li✓ �1 tion and maintenance ot the improvement here[o , <br /> app6ed for and further agrees to remove same upon <br /> �30-.�— ------_—.�30" I notice irom the City and to�eplace public property <br /> �� <br /> � dam�ged-therebyJ ;, -� 1 <br /> ignature of Ap�5licant � j� ' � <br /> — "-' J 'S ." .� ,.:!f , � ._ .F� .. lei � I <br /> COPY OF THIS APPLICATION TO Address � ' � <br /> � BE POSTED ON JOBSITE. �� �"� ' ` � � ' <br /> T�o e umber <br /> ee <br /> CALL ENGIN[[RING DEPT. 259-£?t317 � ' <br /> ��-��-- <br /> � i 71 !iOUli; 6EPORE COf�ISTflUCTIOW� - � � <br /> .. -- � -� - l . l , . <br /> CHECK LIST Fee ' <br /> Water Va�ve Dept. Approvals <br /> Drainage <br /> Curb&Gutter Engineers i <br /> Sidewalk Warer���.. •. �v�� �T�•�i- s Pi r '1���•�- i <br /> � /� S[reet� � <br /> i <br /> Communications � <br /> Inspector's Signature Traffic <br /> --� �l, ,.� . Planning ' .. , <br /> �----- � <br /> —6ate �F.—cSQ •. _ .. ��/ :: 'IIJf�I,��C�.. -i: ✓{. <br /> L <br /> Remarks � <br /> Note: Original to Customer <br /> i CopY to File �.(���� <br /> 1 Copy to Inspector Approved by <br /> Date Approved � � <br />