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APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> eceren - <br /> 11053 <br /> � <br /> CITY ENGINEERS ��/3�7 �, <br /> EVERETT,WASHINGTON PERMIT N0. <br /> The Undersigned (��.,_ ���J�-� �..�,_; .:.�/,t,.. <br /> Hereby applies for pertnission to � � � r-" , �f _ � -- � <br /> At the (ollowing location ,�f0 a ti ,C_J�;: ri � �i r7�.� Fty � �fi y��-�-� , <br /> /1v)- -E';i <br /> SKETCH <br /> �Work to be done) �� <br /> SE�t �TAcM�,� .. <br /> r <br /> ; > <br /> i ' <br /> r� �=: <br /> � ` ' <br /> ; <br /> � � �,,. . , � <br /> .. . ` . 1���'v�bY <br /> �.:Y�...j:•-... . <br /> [ <br /> . .��..5�4 . <br /> I . . � .� � ��i%4r... <br /> . DRIVEWAv SECTION The undersi9ned owner hereby agrees to hold and <br /> {� NO SCALE save harmless the City of Everett from a��nd a�l � <br /> I -----� claims for damages that may arise cr<.�se of ir,stalla• <br /> �� �I" LIP --�� tion and m 'ntanance of.�o-i pi,vernent herero , <br /> �30' _I 3� applied for a d f efagrees to remove same upon <br /> --- notice from ity and to replace public property <br /> , dama e bY�-- " 1 CGLP%-�/ ,:��',�'� ". <br /> /UC <br /> ignature ! ican�� / � <br /> ii / - n /�! z4 S�i��7�/ <br /> COPY OF THIS APPLICATION TO Address � ��� <br /> i BE POSTED ON JOBSITE. � C-::2, - RO�?i <br /> CF�LL FNGIN[ERING DEPT. 259�8811 Telephone Number <br /> ' ���L i 7. � 7� �. <br /> , :i� ��UUHS 66FORE CONSTRUCTION Oate • � <br /> CHECY, LIST Fee �_ N��i r ;y�.�� . <br /> Watar Valve Dept. A prov�ls <br /> Drainagc <br /> Curb&Gutter Engineers �% � � r � <br /> Sidewalk -� <br /> Wa[er <br /> Street <br /> Communications <br /> Inspector's Sigiia[ure Traffic <br /> Planning <br /> �te <br /> Remarks <br /> Note: Original to Customer <br /> . iCopytoFite ��053 <br /> 7 Copy to Inspecror Approved by <br /> --..._._._ _.. ---- ---.. <br /> ` Date Approved <br /> r,.:s:.�.� � - - �—�------', --- � . . <br />