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j everen <br /> - AF�LICATION FOR RIGHT-OF•WAY USE PERMIT � ��6 $ " <br /> . � ` <br /> CITY ENGINEERS / <br /> EVERETT,WASHINGTON �( ��� { IJ� � PERMIT NO. � f' -�_ <br /> ` <br /> The Undersigned "�'�� <br /> Hereby applir.s for pertnission t�4 ..)���� i4�r c, f• i:� /i �� <br /> c , <br /> At the following locatiou l �' 7 O � � %� , ��' <br /> SKETCH � <br /> (Work to be done) <br /> , i <br /> � ✓ <br /> �' � <br /> �1 <br /> 1 <br /> �, �: r � �� X <br /> �, .� -� �� <br /> DR�VEWAY SECTiON �The und��mgned owner hercby agre s to hold and <br /> S� save harmW.ss the Ciry of E�erett from any and all <br /> - -� �j claims for A;maqes that may arise becausc ot insta'la� .. <br /> �� ��P--�1 tion and naintenanr.e ol the impta�ement hereto ' <br /> �-1 applied �cr ancl lunher agr�es to remove same upon <br /> (,F�O'�_ _ . ___ _ _ _ _ _ _ �3o"ry n�tice Irom �he City and to.eplace public properiy <br /> damay�d tnerebv. <br /> � 1 7 � ��. , '' .._�L_Lc.�.��i �' ��P+•.i_Y /_l. �.,a:r <br /> �.np-� _�" (.'..� $�gna'ure ol?1ppl�cmt <br /> 1�1�"uoxl � '' ,^ � —�-�_-�_ , <br /> ; -_G:..�.&�-«.�-°— - � <br /> �, . -. .. � <br /> �COI'Y OF TH�S APPLI(;ATION TO � i• ' Add ess y��� <br /> � 8E :'OSTED ON JORSITE.� Te�ephone Numbcr ,� � <br /> ! c:A�l �NGII�EERING DEPT. 25&Od17 ' �� i � <br /> i :; . <br /> ! ?4 HOU�S 3EFORE CONSI"RUCTIONI Dat���'� <br /> A � �� <br /> CHECK UST �ree � <br /> Water Valve . , � � � <br /> `' Dept. Approvals <br /> Drainsge ' ��� � i�.`;_�,.�•--�` ,.' <br /> Curb&Gul;cr � � -"� � _ Engineers___ <br /> SidewalY. �'- �-"- � <br /> -.!J -�� r,y Watcr_ <br /> (/ � //�� Street <br /> `� �¢'"�� .-�'--� Communicatiom <br /> �nsprdor'sS�gna urc <br /> ' Traffic <br /> J l.� <br /> � � � _ � J I . . � Planning_ — <br /> 0 � � <br /> -66aic / � _, �' '•-�-- <br /> � � � �iJ"� � L, i.(� / it , �. <br /> ) /� -�f t � _ <br /> Rrmarks ��-� ---------- � _ <br /> �. 1 �. � 8 _ ,ntk" - �?'�r . <br /> i l '' �. <br /> APProved by. ,r ��` �. <br /> ;' i / '� �.. � �T11�C( <br /> Gate App�oved o <br /> '�t:'-I�f�;iGR�:. .r,��r r , j.`, �� <br />