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, everett APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> . � 11274 <br /> CITY ENGINEERS �/ <br /> EVERETT,WASHINGTON PERMITNO. �U � � �� <br /> TheUndersigned �� ��- � � � � � . � <br /> Hereby applies for permission to ' ' - ..� ; , �,. . . �„ - <br /> ,i � <br /> /, � � <br /> � 1 <br /> .. � �� � i:.. . � . . <br /> At the following location � '� - � � <br /> SKETCH <br /> (Work to be dane) �, <br /> 1i .�._Y� <br /> . . t �' � - �� . <br /> . . � �� '� , . .. .. . . ... . . <br /> ! SI� V <br /> ! r�,:" .:C . . ; �__ <br /> � � ` ' <br /> , � <br /> � � , : :��-, <br /> , <br /> �`,�,�.;���z s ' --.. _ <br /> � <br /> i-- ; — , <br /> i j �_ � �� <br /> � `.._i L_.: L.i � -�E � <br /> .�� .�.�.��..��_._�"'�_.-r..�...._.._..�._�. — � Y't_y� r�''Iri �1 i'.�.. _�_�.._ _ <br /> ,.y <br /> �'" � i. '. .� . .� `.;(`,l.la i� . .. ' ' 1�N•:.�i����u�J�" <br /> r „ .�./17��:��- . .. ' - ' .. . <br /> . . . i. r � , i�,rtE , . <br /> � . <br /> . ..".�....�.�.f��._._�_. .�..._.._. .-�.� . � ' —.--��-.�._ �__...�_. <br /> � � . � <br /> ��.�.- ��Jl ="= �V �� : ;, <br /> . ._ _. ... .. . . ._ _.. .. <br /> . . .. . _._ .—_� _.._-_�..�£ ._ . <br /> - .�..111���1 ��'I�JC-� �j�> �k'cv� iJC� , -- <br /> � ;� �, � �CC���! kC. . <br /> , �LIE1�J \ � + �� '<' �r: �� ��:C, � ..I (_� <br /> � _ <br /> 1 1�A , <br /> DRIVEWAY SECTION ���1 1`` i �.�; 1 !� -��7 � !;l` �' ) �%�� The undersigned owner hereby agrees to hold and <br /> , NO SCaLE— "" save harmless the City of Everett from any and all <br /> r----- � claims for damages that may arise because of installa� <br /> I�� LIP tion and maintenance of the improvement here[o <br /> app�ied (or and further agrees to remove same upon <br /> 30" 30" notice irom the City and to replace public property <br /> �---- -- <br /> damaged themby. <br /> Signaturc of Applicant � <br /> COPY OF THIS APPLICATION TO Address , � <br /> BE POSTED ON JOBSITE. ��- � � ;��� �-)' - %/;, /' ' <br /> Telephone Number <br /> CALL ENGINEERING DEPT. 259�8871 : _ �ij"��- <br /> 24 HOURS RFFORE CONSTRUCTION Date <br /> CHECK LIST Fee � � � � <br /> Water Valve � " ' � � : � � <br /> Drainage Dept. Approvals <br /> Cerb&Gutter Engineers_ <br /> Sidewalk <br /> Water <br /> Street <br /> Communications <br /> Inspe r's Signature Traffic <br /> ,�� ������ Planning <br /> ate <br /> Remarks <br /> 1 :1274 - -- <br /> APProved by • �. � ��.� <br /> .i.�- <br /> � \ <br /> INSP[CTc'�R'; r,,,;-.; Gate Approved -' — � 0 <br />