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APPLICATION FOR flIGHT•OF-WAY USE PERMIT " ,�,1377 `fr� <br /> � everelt .�� i <br /> � ' �� � <br /> � <br /> CITY ENGINEEHS 1 <br /> EVERETT,WASHINGTON PERMIT N0._�_ <br /> �—T��� <br /> The Undersigned <br /> Heieby applies tor permission to � ' <br /> ,d the following location !� / � C hF-5�n s�s� � � <br /> SKETCH . ' <br /> IWork to be donel�l �/ '�. <br /> .�� / � FO ✓ C�(.i /f I <br /> �� � <br /> /�//� � - I , i <br /> , N <br /> t.c�,! � N e�¢ F� ♦ �Q ; I <br /> �. / S E �'1' ,2'/� p�po��c.«,. ►, f's , , <br /> ;c : c� .! .� s •d � <br /> �}'9� �-r � s, <<...�iE'J I O�w �oc,��o « s, ,� � <br /> �7Y' • <br /> � �' --� � <br /> �a - �.� <br /> . ; <br /> � <br /> DRIVEWAY SECTION The undersigned owner hereby agrees to hold and <br /> {�� NO SCnLE save harmless the City ot Everott from any and all �1" <br /> I —� claims tor dameges that may arise beceuso of instelle- �; <br /> �_ f' LIP _ � T tion and maintenance of the improvement here�o t� �_ <br /> ' � ap•�u tar and further a rect to romove uma u on '' <br /> f��-"��'--�— ---- �� n ice �om the Ciry an g o replece b�ic pro erty � <br /> da ag d thereby, ' <br /> ��� 4 <br /> Sig e ol App icanl — '� <br /> � � D 7 - i 39'O`,,.� g F' `, <br /> COPY OF THIS APPLI�ATION TO AdJrese � 3�� £ <br /> BE POSTED ON JOBSITE. � ' J�G� '-` __ � <br /> Telephon bPr .7 n � <br /> CAU. E(JGIN�FRI?lGDEPT. 259��811I � U <br /> � 2: fiOURS f3EF01iE CONSTfiUCTION� Daro - � <br /> �- - ------'— . <br /> ._ � CHGCK UST Fee — . <br /> 1Va�m Valvc , <br /> Dreinape � DB�t. App�OYeh ' <br /> Curb&Gutter � � <br />� Side�valk Eogineers <br /> -�--- ' Water_ <br /> � <br /> Shoet <br /> Commuofcationf. � <br /> Insper.ror's Sipnamre �-- i <br /> Traffic <br /> Pianning <br /> LSatn------- <br /> �_ Y <br /> Rernarks -------'— �.L�� ! — ' <br />� MMoved by <br /> CYSTOM[R DaM Approved � � ^ <br />