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APPLI�ON FOR RIGHT-OF-WAV USE PE� <br /> . everetl • . . <br /> e <br /> CITY ENGINEERS <br /> EVERETT, WASHINGTON PERMIT N0. <br /> The Undersigned ._. _ <br /> Hereby applies for permission to � ' - � � � ' <br /> At Ihc tollowing location___ ___ ��� <br /> SKETCH - <br /> (Woik to be donel <br /> , . . . . . . _., li !i( � . � \, ��.'�. <br /> ORiVEWAY SECTiON The undersiyned o�vner hereby egrees to hold end <br /> NO SCALE save harmless ihe City of Everett trom any end all <br /> f' -- - �� � - - --- -" -"{ claims fo�damages that may arise beceuu of Instelle� <br /> ��iP --_� tion and maintenanre nf ihe improvement heroto <br /> ' �---- applied for and �urther agrees to remove same upoa <br /> �,30'+ y3�"� notice irom the City and to replace public property <br /> damaged thereby. <br /> Signa[ure of Applicant�� <br /> COPYUI1111SnPVI. It:N�(lNiu Address � <br /> 8E POSTGD OPJ JOBSI 1 L � — <br /> Telephone Number <br /> � CALL ENGINEFiiING DEPL 259 flHl 1 i � � <br /> 7nH0URSHt. rnIiCCONSIRU(:tION� Date �---- <br /> CHECK LIST Fee <br /> Weter Valve L�Bpt. AppfOVe�S <br /> �f811189@ <br /> Curb& Gutter Engineers _ <br /> Sidewalk Water <br /> Street_ <br /> Communications <br /> Inspector'sSignature � Trattic <br /> Planning <br /> �te -- <br /> Remarks <br /> .4pproved bv <br /> Datr Ap�uov�,d � <br />