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APPLICATION FQR RIGHT-OF•WAY USE PERMIT <br /> everen . . . �. <br /> . � <br /> CITY ENGINEERS <br /> EVERETT,WASHINGTON PERMIT N0. <br /> The Undersigned - <br /> Hereb�� applies for permission lo � � - -- <br /> At the following location � <br /> SKETCIi <br /> (Work ro be done) <br /> � , <br /> , ._ ; A ;(�' ,� , r . � , , i I`, /'��;_' t <br /> " r,� 6�} c��'�' �RF/�t I%u� ' � 1 <br /> ji r�-7 A� ; .9 �� ' . �' ['- 1/ �I�)� , �: '� <br /> . �.-. <br /> � / � 2 � <br /> DRrvEWAV SEC�iu�. The undersigned owner hereby agrees to hold and <br /> NO SCALE save liarmless the City ot Everett from any and all <br /> r �—`{ claims for damages that may arise because oi installa� <br /> `i„ ��P � tion and maintenance ot the improvement hereto <br /> , <br /> appiied for and further agrees to remove same upon <br /> �3Q'.�...-- - ---------_ --- 34�..I notice trom the Ciry and to replace public property <br /> damaged thereby. <br /> Signature of Applicant <br /> COPY OF lHISAPPLICn1l0lJ lU �� Address <br /> BE POSTED ON J06511E. I <br /> Telephone Number <br /> CALL ENGINEERING DEPT. 259�8811 <br /> 24 Ii0UR5 �EFOR[ CONSTRUCTION Date <br /> CHECK LIST � Fee <br /> Water Valve Dept. AppfoV315 <br /> Drainage <br /> Curb &Gutter Engineers <br /> Sidewalk Water <br /> Street <br /> Communications_ <br /> —... .. . _ . .--- — <br /> Inspector's Si9naW re Traffic <br /> Planning _ <br /> ate <br /> Remarks <br /> Approved by <br /> Date Approved � <br />