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- everetl APPLICATION FOR RIGHT•OF-WAY USE PERMIT � -, <br /> � � <br /> � <br /> CITY ENGINEERS <br /> EVERETT.WASHINGTON PERMIT N0. ' <br /> The Undersigned � � � <br /> Hereby epplies for pennission to � - <br /> At the following locetion "� � � ; ! . <br /> SKETCH <br /> (Work m be done) � ' � ' - � ' . ', . � r, .'��� , , <br /> �_ .. - . rI.LL[tj <br /> � t <br /> �', <br /> � <br /> 1 ", <br /> r: <br /> _._ �y <br /> i � / / <br /> � . <br /> i:_/, <br /> URIVEWAY SECTION The undersigned owner hereby agrees to hold end <br /> {� NO SCALE save harmless the Ciry of Everett trom any and all <br /> I c� - - - � claims (or damages thal may arise because of installe� <br /> �I" LIP --� tion and maintenance at the improvement hereto <br /> ��p,� '�— �30, I applied tor and furiher egrees to remove same upon <br /> '1 notice Irom the Ciry end to�eplace public properry <br /> damaged thereby, <br /> Signatu�eofApplicant —` <br /> � ��'. .� . 1 /- .J¢��i/=-_ <br /> �COPY OF THIS APPLICl�T10N TO Address ..(l� , — <br /> BE P('Sl'ED ON JODSITE. <br /> CALL ENGINEERING DEPT. ?59-ft8ll Telephone Number �_ �/J F� � <br /> 24 HOURS BEFORE CODISTRUf,TION Date � r <br /> CHECK UST Fee <br /> Water Velve Dept. Appravals <br /> Drainage <br /> Curb&Gutter Engineers <br /> Sidewalk -- <br /> Water ; <br /> Street _ <br /> Communications <br /> Insper.tor's Signature � �� Tratfic II <br /> Plenning <br /> –6ate _ -______– ..__ <br /> Remarks I <br /> i ' _ <br /> — � <br /> Approved by � � <br /> Datr. APP�oved B <br />