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APPUCATION FOR RIGHT•OF•WAY USE PERMIT ,. ,., � <br /> . �everett � �1 G .: .`�. <br /> � � I <br /> CITY ENGINEERS . � � I <br /> EVERETT,WASHINGTON PERMITNO. � � <br /> ( . /� , <br /> TheUnderiigned t��-� � u_ �� - '� �--� _ ' �i' :n ` . _ — � <br /> Hereby app��e�tor permi�sion to ��' � f � <br /> � � - r� � ; <br /> ,_.,.�,,.�..7_'.,- ,, � ._ - . <br /> At ffie tollowing�ocation t--'-��' � � _ - . <br /> SKETCH � <br /> (Work to be donel , , ' , . , <br /> 4' (6 ,�1�STk;,C.l ' ',����- <br /> -- ____ _ . _ _ <br /> CHA�Q �A�+iF , <br /> ,.._ ' f�' �.Au�12�r�, , <br /> Ex�sr�u�n �/N/ <br /> � _.. � � J <br /> - � �i. � y� <br /> .� <br /> I ' ��b � v ' � <br /> �� _ t._,;_ y .: <br /> -a . _ _ 5 ; <br /> �F }�1��� i �` ` . �'�.� �>,`. � <br /> � � .� h �+�' <br /> r'" , �� �" :r 1 <br /> ` � ,/' �PtAC.�la� <br /> � r' , ���_ � , ��i <br /> .-.,.:�•_ /� ; 1�� C <br /> . - ; ,� <br /> � , <br /> � � � �oi.�ykuCT � � � � ,. . � � <br /> �S-rAU�t1�� �3 �"�? ! <br /> , <br /> . p��� 5 t� �,J h�l .K. �R�� <br /> Q NL � " <br /> � ;�v � P, � �:_�-�� - --f'..-� <br /> DRIVEwAY SECTION The undersigned owner herebY agrees to hoid and <br /> NO SCALE seve harmless the City of Everett trom any and all <br /> � _ --�7 . claims for damages Ihat may arise because oi installa• �� <br /> � tion and maintenance of ffie improvement hereto !� <br /> 1�" uv appiied for and further agrees to remove same upon �9 <br /> i 3�- ► 30" notice from the City and to replace public property . <br /> �"- <br /> damaged thereby. <br /> Signature of Applicant � <br /> Address <br /> COPY OF THIS APPLICATION TO - <br /> BE POSTED ON JOBSITE. Telephone Number <br /> CALL ENGWEERIfJG DEPT.259�881/ '- ��y ' <br /> Dare <br /> 24 HOURS BE�•:�P�E CONSTRUCTION <br /> GHECK LIST � FeP � � � <br /> Vdacer vaivn� Dept. Approvals <br /> Urainage Engineers <br /> Curb&Gutter <br /> Sidewalk Warer . — <br /> Street <br /> � Communications <br /> 1n ec or'sSiB�ature Traitic — <br /> p Planning <br /> - ate ' j O ' 7 J <br /> Remarks <br /> 11235 � — <br /> .„- <br /> APProved hy-" � �-./; ,.'. ��j J <br /> .� � � 1 : =� -���1��,�\ <br /> � B <br /> Date Approved (� , <br /> '�'�y,����. �,. . It:SFECTOR'S COP'!.' . (�U.' �Q .° �. <br /> 'a'`.1 <br />