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— / <br /> everen <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT , i 3 s 4 <br /> � e � <br /> CITY ENGINEERS <br /> EVERETT, WASHINGTON PERMIT N0. <br /> The Undersigned <br /> Hereby applies for permission to _ <br /> At the tollowing Ixation � � <br /> SKETCH <br /> (Work to be done) . <br /> 1 <br /> � �1 c�' ������ <br /> � G� , <br /> I <br /> � <br /> � 1 ...(i l r,l��'7.,f/('�,• , <br /> � �,i <br /> / � <br /> �: i <br /> � � . �' .d � _ . <br /> ;:..1 �)t C�G4,,,,�!� <br /> .� � <br /> , <br /> �-�1,-1.R.!f� ;. � <br /> ,,;-! f�� r � <br /> f/c .�,.� f �, � , . <br /> . j �� ,-r?r_•!': � � � , _I <br /> : )f � ,t _;l' 1 � D � '{�.t ,r '. <�' <br /> �,�;1�1.�.,-.. .'�� _.� � � <br /> � .., _, � � <br /> Il� � ^ I <br /> � � � <br /> � i <br /> i <br /> ' , � ;. , � �� <br /> DRIVEWAY SECTION The i�ndersigned owner hereby egrees to hold and <br /> No sca�E sava harmless the City af Eveiett from any and dl <br /> � -� � � � �- � -"+ claims for damages thet may a�ise beceuu of In�tdb� <br />� TI �L�� LiP tion and maintenance of Ihe improvement heroto <br /> �--� applieA lor and turther agraes to remove ume upon <br /> �30'�_ .__ _ �30'� notice from the Ciry and to replace public proparry -- <br /> damnged thereby. <br /> Si{lnature of Applicant <br />� COPY OF THIS APPLICATION 10 � Address <br /> BE POSTED ON JOBSITE. I <br /> Telephone Number <br /> CALL ENGINLFRING DEPT. 759-RA11 <br /> 24 HOURS f3fFORE CONSTRUCTION Date <br /> � CHECK LIST Fee <br /> Water Velve <br /> ` Drainage Dept. App�oVelt <br /> Curb&Gutter Engineers _ <br /> Sidewalk Water <br /> Sireet <br /> ----..._- _ ----_.____-- ._-__.__. Communications <br /> Inspec�or's Signature <br /> Treffic <br /> Planninp <br /> _ ___------------ - ------ <br /> ate — <br /> Remarks — <br /> Approved by <br />� Date Approved � <br />