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APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> • everetl - — � � � � � � <br /> � e <br /> CITY ENGINEERS <br /> EVERETT,WASHINGTON PERMIT N0.__._ � ._ <br /> The Undersigned � � <br /> Hereby applies tor permission to � � � - ' �� <br /> At the following location � � <br /> � , , <br /> SKETCH <br /> (Work to be done) r ., �: � . . . . . <br /> a��'� � <br /> � '� <br /> I <br /> , <br /> I <br /> _ / <br /> — ��\� .��,l�___ -- I-= <br /> ,--�' ���������"Y <br /> �� ,�� �,o � �0���-�-i� � 51 x <br /> �3..� C.D�S��'�cT� o+� a � <br /> '� � � IN�� �C �`�►''s ' '' ucr�o� <br /> a � �AI.K rf , -��Z�v� <br /> �F �;DC, <br /> r � � � ,.- i � ;�� `'2"i ' �`� - <br /> �� i.� ,, <br /> �eivEWaY SEC7i0N The undersi9ned owner hereby agrees to huld and <br /> NO SCaLE save harm�ess the City of Everet[from any and all <br /> f+— . . ------—� claims for damages that may arise because of installa� <br /> � i I" LIP tion and maintenance of the improvement herem <br /> applied for and further a9rees to remove same upon <br /> I 30 I 3O� notice from the City and to rep�ace public properry <br /> f—T-- --- --.---- — <br /> � damaged thereby. <br /> Signa[ure of Applicant <br /> COPY OF THIS APPLICATION TO Address <br /> BE POSTED ON JOBSITE. Telephone Number <br /> CALL ENGINEERING DEPT. 259-8811 <br /> 24 HOURS BEFORE COPISTRUCTION Date <br /> CHECK LIST Fee <br /> Wace� vaive Dept. Approvals <br /> Drainage <br /> Curb&Gutter Engineers <br /> Sidewalk VJater <br /> Sveet <br /> Communications <br /> Inspector's Signature Tr±ffic <br /> PI � <br /> atc —" <br /> Remarks . . , .. <br /> Approved bY. - ' ' � .. <br /> Datc ApProved 3 <br />