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� -- evercn APPLICATION FOR RIGHT-OF-Wqy USE PERMIT <br /> e 1 � � 2e � <br /> CITY ENGINEERS <br /> EVERETT, WASHING70N <br /> The Underiigned PERMIT NO.�� <br /> Hereby apV��es for permission to . <br /> �_ <br /> At the followin8�ocation . . � <br /> —�-�___ <br /> SKETC�— --- <br /> (Work to be danel <br /> - , � <; tri��,l�/��1 �`,�� - -- <br /> -,s7;Nr: I <br /> �"'�S .F <br /> , . � <br /> I <br /> i <br /> I <br /> I � ��QT7, . . � -' <br /> � !�x 1, I ���. <br /> � � � <br /> i ! <br /> {'/)dhrNl'� .STki�... . _- �'_"_"_� , <br /> .1�%l SC�• , (�U <br /> �-��.��._ . J. �• <br /> ( <br /> DRIVEWAY SECTION <br /> � NO SCALE Tlie undersisned owner hereby agroes to hold and <br /> .i save harmless the Ciry o(Everott from any And all <br /> �__L�ip � claims for damages that may arise because of instelle� <br /> �30'• � � ---- �-_� tion and maintenance o1 the Improvement hnreto <br /> ��� .�.30'�f applied lor and lurther agrees to remove same upon <br /> notice from the City and to repla�e public property <br /> demaged thereby. , <br /> Signature ot Applicent <br /> i COPV OF THIS APPIJCAIION Tp � � ' � ���� � <br /> �� flE POSTEf)ON JOpSITE. Address —�� <br /> � �:�L L ENG W FE R ING DFP7. 759 Rt;t� � Telephone Number <br /> � 74 NOUR!; BF�ORE CpN.STRUC7lONj <br /> � Date <br /> CHECK LIST <br /> Water Valve Fee�—� <br /> Oreinege ' - ' <br /> Cu�n&Guccer �ePt• Approvels <br /> Sidewalk Enpineers__ <br /> Water_�_ <br /> Street <br /> Inspectar's5ignamre� ---�--�--------�—� Communicaiions <br /> Traffic <br /> �"e�e---------__-- --- Planning --- <br /> Remarks -------------- <br /> APProvM by , , ,' i <br /> � <br /> ��� , ii <br /> Dale Approved � � <br /> . .�;� �� /i„� � �;' � - <br /> I � � • , � � � . � <br />