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APPLICATION FOR RIGHT-OF�.NAY USE PERrVIIT <br /> evcrefl - .' . . - <br /> � � <br /> CITY ENGINEERS <br /> EVERETT, WASHINGTON PL'RPAI'iNO..___ __ <br /> i , <br /> The Undersigned—'— ----- . i �i�',. ` ,_ . . _. — -- <br /> Hereby appliei fo�permission to__.__. '--��`�-'--� `� - --- _, <br /> .4t the following location ' � - .. _ � <br /> SKETCH <br /> (Work to be done� <br /> DRIVEWAY SECTION �� The undersigned owner hereby agrees to hold and <br /> NO SCALE � saae harmless thc City of Everett (rom any a,id all <br /> r-- —��' claims for damages that may arise because of installa� <br /> �—L�P tion and maintenance o` the improveman[herelo <br /> I � � <br /> applied for and (urther a9rees to remove same upon <br /> ��-+— - -- --�}.30 aotice from [he City and m replace puhlic preperty <br /> � damaged tiiereby. � - <br /> , SiSuature o(Applicant �, <br /> COPY OF�THIS APPLICATION TO Address . _ <br /> BE POSTFD ON JOBSITE. — � ( ` '- ���-�� `= <br /> Telephone Numuer <br /> CALL ENGINEERING DEPT. 259�8871 ,-y �� ?�31 `/G�_��_ <br /> Date � <br /> 24 HOURS BEFORE CJtJSTRUCTICN , <br /> CHECK UST Fce � � <br /> bva�er vaive Dept. Approvals <br /> Drainage <br /> Curb&Gutter Engineers _. <br /> Sidewalk Water <br /> Street <br /> Communications <br /> Inspector's Signature Traffic <br /> Planning_ <br /> �ate � <br /> Remarks <br /> � i <br /> Approved 6y � � � <br /> Datc ApP'oved � <br /> f <br />