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� APPL'CATION FOR RIGHT-OF-WAY USE PERMIT <br /> , c�•crrtl 1 'I ��O <br /> � 11 <br /> . <br /> CITY ENGINEERS <br /> EVERE7?, WASHINGTON 1 tr)-����„ PERMITNO. <br /> ru <br /> `., <br /> Thel�ndersigned_ • � '�. -lt,� ( ����-� ' �� <br /> Her�:by appli^s for pe�mi=.sion to - .ti ' ` - "'^�"'r � � <br /> r <br /> At the following location 7 %" �`-�� � - ;i r� . <br /> SKETCH ����r-" j <br /> (Work to be done) . _ ' �� � ;���� � _�--� .� � <br /> _ � ,J ��j - _ <br /> ,�,� ; , J �G�8 �� <br /> r�.r <br /> --�'''�f °�1� ' <br /> ��°� '�i� �° �� <br /> � � <br /> �.. ��:��.'.c"�.,� � <br /> ��--._,1`�:�--y�• � �`�9prY)a'T <br /> n <br /> ��'n't <br /> � <br /> L• s':���.�.� <br /> ,(.om.c � . 4'r�a u• ��`` <br /> r� <br /> �� � <br /> `"��5 <br /> �' <br /> L` `` ^�� <br /> �`_._C .=�.-I"' <br /> � � <br /> .... <br /> �\� �,,.� � =.�.�,: <br /> DRIVEWAY rSCiION The undersigned owner herr.by a9rees to hold and <br /> NO SCa�E save harmless the City oT Everett trom any and all <br /> �— —�—�---—'����-_„ claims for damages that may arise because of installa� <br /> +f' LIP 7� tion and maintenance of the improvement hereto <br /> �--� ��\_ applied tor and further agrees to remove same upon <br /> 30" ______�30" � notice trom,the Ciry and to replace public properry <br /> damaged thAreby: ! <br /> � , , <br /> � � � '� ���'�;.. :� ;_.�....:,.r..:r.,��.. <br /> Si�nature of Appti�ant <br /> .c' .s'h;,`. �r1(:�i:;�_ I.�, �iSf .�c. c� :- .�'� . <br /> COPY('r THIS APPLICATION TO :,{�, � Address ' <br /> BE POSTED ON JOBSITE. ' `� - '- � <br /> Telephcne Number , <br /> CALL�ENGINEERINGDEPT. 259�BII11 _ � � �� � �� ,•+ - . <br /> 24 HOURS BEFORE CONSTRUCTION Date <br /> CHECK LIST Fee <br /> Water Valve Dept. App�ovals <br /> Drainage <br /> Curb &Gutter _� Enqineers_ <br /> Sidewalk Water <br /> �� Street __ <br /> Communicatiuns <br /> Insp orsSignatuie <br /> Traffic <br /> �� � �� � � A . Planning � <br /> J <br /> ate -- <br /> Remarks <br /> 1y240 , . r�� i <br /> � � ,, ,�,i` -� <br /> ApProved by 1''_ ;"�1 . � . �' ' i <br /> `-`'-�JYJ.a 7( i l <br /> � Date Approved � � � 0 <br /> � INSPECTOR'S COPY . . . - '� � � � <br />