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evcren <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT t ' <br /> �- 11C,94 . <br /> CITY ENGINEERS � + , - � <br /> EVERE'fT, WASHINGTON PERMITNO._�'/-'—"� . <br /> � The Undersigned ' . �� <br /> Hercby applies for permission m_ � - � <br /> A:the follo�ving location i � � <br /> SKETCH — <br /> (Work to be done) '. <br /> �.:i� �i •� i��,�); l���iJ � <br /> ' i <br /> ' . 5 kY� !t� . <br /> II � . . . .. . .. , <br /> I <br /> I <br /> � I <br /> I <br /> DRIVEWAY SEC710N The undcrsigned owner hereby agrees to hold and I' <br /> NO SCALE save harmless the City of Everett irom any and a�l <br /> � :_ — —"i claims for damages that may rise because of installa� � <br /> � +I" LIP tion and maintenance o` e improvemen[hereto <br /> applied for and fur�h r agrees to remove same upon <br /> , �,30'�_ �30" notice from tJ�e�'City and to replace public property <br /> � damaged-tlier�by.` � <br /> /' ."' � :, !'���_ <br /> ; : ig�awre 0 A pl cant r <br /> --- , l-[_N alJ l/l ,��'/ ? 7 <br /> � COP'( OF THI�APPLICATION TO Address <br /> BE POSTED ON JOE3SITE. �i �^, Z. 2 0 / � <br /> , I Cl1Ll ENGINEERING DEPT. 259�8,811 TelephoneNumber . <br /> i�FC_ Lz�7 7 <br /> ' �� 2-i HOURS E36FORf CONSTRUCTION /�, �� $�,�� r_ 5� ,- � -,,� Date <br /> i . _ .. _.. --�------..--.— �. <br /> I CHECKLIST t(l�YT �'«T �+ �N�� «TFee <br /> Water Vatve G�SL C��y � /" /d,, <br /> Drainage /// Dept. Approvals <br /> Curb&Gutter �+��'r cTt�� Q'�S�� ��'-���=�ngineers <br /> Sidewalk fi.�%�'r'ii.G t j'. • ' - - � <br /> �' �;,.,%„�—Water � <br /> a �� �''f� �� Stree[ � <br /> �l � ��'�"v�"� Commwiications <br /> �� Inspector's Si9nature � � Traffic : <br /> � � 3 �, Planning ' <br /> ate <br /> D�'�v�w.�yys �%9c�c:p ��EFeKE .< G oT �Er'E, <br /> Remarks ,�o v,Y O,� � <br /> Notc: Original to Cus[omer � �' -��� <br /> i coPy ia Fn� '1 .1, Q 9 a --<,,---= � <br /> � coPy to io:Po�cor nu�ra�ed t�4�-�`-1.--` <br /> �� !n� „ .rlil�� ,;,; � <br /> Da[e Approved � � � -� J <br />