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' APPLICATION FOR RIGHT-OF-WAY USE PERMIT � � � 7 O <br /> evCreft <br /> . � 1 <br /> CITY ENGINEERS ' ,,, <br /> EVERfSTT,WASHINGTON PERMITNO. ' '�� � <br /> The Undersigned - __. � ��.� � � <br /> Hereby applies for permission to - � ' � � � � �.-.��., <br /> � <br /> At the fo�lowing location ? �'� 4 �i (i /;^ r ;' r v �� r; !,�.� <br /> SKETCH � <br /> (Work [o be done) �`'��. . <br /> � <br /> . . i;; � . . , � <br /> j��r � 1� �. __ <br /> + ;' � �- ,. <br /> � '� �, -- _ _ _ %. ;,, <br /> �'juE��cerp ( _� <br /> ' �~ - �� � �►u���� !f� 9u' <br /> i � 4 <br /> � <br /> �� i �� a <br /> /i , ,�W <br /> .. , _ / _. <br /> '° ' �+ Q <br /> - ' �` - s <br /> ~ 1 � <br /> `:' N <br /> ; T �J � z <br /> ; '� � <br /> ; �`_`"-�- __� _ ;� �s '� <br /> � '�� �/�. <br /> � <br /> � ' "j �- <br /> __ _ _ _ �_ - _ __- _ _�� ,� v� <br /> , _. '^ � <br /> -� <br /> '`"�`'"_-�-._.._� �'���� <br /> - _ ��r. <br /> DRIVEwAY SECiION The undersigned owner hereby ac�rees to hold and <br /> NO SCaLE save harmless the Ci[y of Everett trom any and all <br /> � i:`: �� claims for damages that may arise because of installa� <br /> +I�� LIP� tion and maintenance of the improvement hereto <br /> applied for and turther agrees to mmove same upon <br /> 30" _ 30" notice from the City and m replace public properry <br /> damaged�thereby.,� <br /> ; .f'. � � .� .�, <br /> 'Signature of Apphcan[ <br /> --- ,. - ,:._; :,,�� �: r�r <br /> COPY QF THIS APPLICATIUN TO Address — <br /> B- ?OST:D ON JOBSITE. ' -`� �%- '�i. '" <br /> Telephone Number � <br /> CALLENGINEERINGDEPT. 259�8811 ,-.,� ;,;, ,:--_,�.; <br /> 24 HOURS BEFORE CONSTRUCTION Oa[e'� ' - <br /> CNECK LI.iT Fee � � — <br /> N'ater Valve Dept. Approvals <br /> C)rainaye � <br /> Curb£a Gutter Engineers <br /> Sidnrlalk <br /> —�---- Water <br /> � Street <br /> ��� Communica[ions <br /> fnsp ctor s Signature • Traffic <br /> � '- J�f�I L — � �1� Planning <br /> ate <br /> Remarks <br /> 11170 <br /> Approved bY . , -- � ' �' <br /> _j 4••-- <br /> � -'C� ���. '\ <br /> � Date Approved - ��. � 0 <br /> IiV_i:'r:CiJ''�CS �C'.� � . . <br />