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:'.> ' <br /> PPPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> everett ' <br /> e - so748 <br /> �� CITY ENGINLERS <br /> EVERETT, WASHINGTON PERMIT N0. ��' �'� <br /> ! TheUndersi9ned ��fai.L. _�n.' =�G � <br /> � Herebv ap4dies for permission tu�'iv S7,PVe_7� /y 'S.S� i=i �r'rrR'a i� (%i,i,� � �_ <br /> At the follnwing loca[ion 7� 3/ r G L r M t7,7 � � <br /> – — I <br /> ' SKETCH <br /> ' (WorF, to be done) LI i <br /> � � • / i <br /> j�G ��%'f?Gr>:'i� �� � <br /> � I �/ c�•`�� i <br /> , � ..._ ' �•�P��N` il <br /> , � �� .,�, <br /> � ,�, �; <br /> + � <br /> ; . r:���� ; <br /> ; �, <br /> � i <br /> � � <br /> , I <br /> ' � <br /> DRIVEWAV SECTION The undcrsigned owner hereby agrees to hold and '�, <br /> NO SCALE save harmless the City oi Everett from any and all '� <br /> ; f'-- � claims tor damagns that may arise because of installa- �� <br /> j � +�,� ��P tion and maintenance of the improvement hereto ' <br /> , applied for and further agrees[o remove same upon <br /> . 3� --.�.30-.{ noti5�rom e City and to replace pu6lic property <br /> �� da�fiageA ere1�� . <br /> , I �-/ l �.n.r-�,�� �. <br /> � Signat�`piicant '� <br /> I _— /�'%(- 1 E��, � i l-7 /-�-. .–�T� � <br /> '� COPY OF THIS APPLICATION TO Address ' c���_�Y� , <br /> '�, BE POSTED ON JOBSITE. ' S > � `'�� �� `� I <br /> Teiephone Number <br /> ' CALLENGINEERINGDEPT. 259�E811� _ �; -� r�i7 I <br /> I <br /> � 2�1 HOURS f3Ef-ORE CONSTRUCTIOPI� Date ' <br /> - – - - — /7 s- �� <br /> i CHECK LIST Fee � y <br /> Water Valve Dept. Approvals <br /> �. Drainage C r <br /> � Curb&Gutter Eagineers �� <br /> . Sidewalk :r;' � - Water �7 �i� � + <br /> _ ,.���c ���y--�� <br /> 'J�/`';". .�° �. .. . . <br /> - . :�� �.� � �_ Svicet ' <br /> Ccmmunications <br /> Inspector's Signature . Traffic �. <br /> � Planning �I <br /> �t /�r���s lr .. <br /> / ��-� "� � �. <br /> Remarks �'� <br /> � Note: Ori9inal [o Customer � <br /> '� 1 CoPY to File ��7[t 8 '. <br /> I 1 Copy to Inspector Approved by �, <br /> Date Approved <br /> –r., _ <br />