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�" APPLiCATION fOR RIGHT-OF-WAY USE PERMIT ��2(�� <br /> C•veictt ,, <br /> �/ � ,�;rrv ,l,_;?�' •, �--��'�'� �� �--- . <br /> ._-- <br /> CITY ENGINE[RS <br /> EVERETT, WASHINGTON PERMIT N0._�'" �'�� <br /> � The Undcrsi9ned j''/?J!_ �Q/V 6S _ <br /> Hereby appliesfarpermission to GoN S!/CUC7' A� 7-S� ��i'.n,�: t_ � � �l,! <br /> At the toltowing Iocation �7 � �3 E, ��'n D r . <br /> SKETCH <br /> (Work to be done) <br /> ! <br /> ��� <br /> ���� �� <br /> �Q' ` �a �� <br /> � � <br /> � .�_ — — <br /> c�,��7 <br /> n���_ <br /> �� ' 3 L�^y o' \ <br /> � � � �w6: f� `�'�� �v✓ ¢ °r Sj. <br /> �-�� � <br /> �'S q • �,1 <br /> , <br /> � � ' <br /> ::;�_ � <br /> 'v \ <br /> . � <br /> J. V <br /> `` <br /> v <br /> '�-�.� l��_` .�-. <br /> ,..� o <br /> � <br /> ``_ <br /> DRrvEwAY i0N The undersigned owner erebv agrees to hold anJ <br /> NO SCaLE save harmless the City f Everett from any and all . <br /> �--- ---- claims for damages tha may arise because of installa- <br /> �_ I" LIP [ion and maintenance f the improvement hereto <br /> applied for and furth r agrees to remove samo upon <br /> �3C'i,,,�� 30'' notice f the C' y an o replace public property <br /> dama d th reby <br /> Signa. e of Appli� t � <br /> ,,� ��-;. s_�o�' <br /> I COPY pF "(HIS APPLICATION TO Address - <br /> I BE POSTED ON JOBSITE. ���— ��' <br /> Teiephone Number <br /> CALL ENGINEERING DEPT.259�8011 ��+� �'`.. �]g <br /> ��1 HQURS BEFORE CONSTRUCTION Date <br /> CHECK IIST Fee �� � <br /> w��er vai�e Dept. Appro��ais � <br /> Draina9e <br /> Curb & Guttcr Engineers � <br /> Sidewalk <br /> --____ _ 4Vater <br /> Street <br /> _ Communications <br /> Inspector's Signature Traffic_ <br /> Pianning_ <br /> -bate - <br /> Remarks 112 4 0 <br /> Approved by <br /> Cl15TOM�R Date ApProved � <br />