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f <br /> I �everen APPLICATION FOR RIGHT-OF•WAY USE PERMIT _ -_ G � _ <br /> I � <br />� CITY ENGWEERS <br /> EVERETT, WASHINGTON PERMIT N0. <br />. The Undersigned <br /> Hereby appiies for permission to _ - � <br />� At the following location -- <br /> SKETCH <br /> (Work to be done) <br /> I � y, � � ..r��:, _�., . . . �,;i <br />' f <br /> � ,�� � , <br /> � -_ �. "-,,,, � . <br /> 1��.� � ��.:�'. � . . - .� � -.L ti 1 U3J��'�1/'�A7t.p�[U <br /> .� ! ! ' t ;_..._.�.�-_?. ' J � <br /> �� � I. . ' ' , r..�_��1. � y, <br /> '�f.tl::'��- <br /> �M...4 f��ol�e.��c;, r'r �� �..1 . <br /> ��i. '•`� ' i�. � � ' ti <br /> ,' ': . .� � . <br /> DRIVEWAv SECTION The undersigned owner hereb� agree�to hold and <br /> NO SCALE save harmless the City of Eveiett from any and all <br /> h.— -- J claims tor damages that may �uise because o(installa� <br /> �1" LIP tion and maintenance of the i�nprovement hereto <br /> applied (or and turther agrees to remove same upon <br /> �„30'+ _ �f.30� notice Trom the City and to replace public property <br /> damaged thcreby. <br />� Signature of Applicant <br /> COPY OF THIS APPUCATION TO Addrecs <br />. BE POSTED ON JOBSITE. Telephone Number <br /> CALL ENGINEERING DEPL 25�3�8817 <br /> I24 HOURS BEFORE CONSTRUC7�ON Date <br /> `-- — --— <br /> i CHECK �IST FeQ <br />� wa�er val�e Dept. Apprnvals <br /> I <br />� Drainage <br /> Cur6 t�Gutter Engineers <br />� Sidewalk Water <br /> Street <br /> . Communications <br /> Inspe�tor's Signature Traftic <br /> Planning <br /> f ate <br /> t <br /> Remarks <br /> �- - • r i <br /> Approved hy - <br />� Date App:ovcd � <br /> 1 <br /> ■ � <br /> � <br />