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�, <br /> APoIICATION FOR RIGHT-OF-WAY USE�ERMIT 11215 <br /> . . everett � "'+ � <br /> . � <br /> CITY ENGINEERS <br /> EVERETT,WASHINGTON PERMITNO. !`' �- ' � <br /> � - <br /> The Undersigned : . . , �. ;�'. ( . i ; , � ; .... _: r-� � , , � � ;... 'n- ,-. <br /> Hereby apF�ies for pertnission to ��. �+- » �: . �% ��� �-� � , �� �- '-" � <br /> ,. <br /> „ <br /> � ' 1 i � .4... ir. ^'i : <br /> s , <br /> At the following location ' " ���. " � /.�.' � �., �. / :,, �",'-. _ /, , � � � % 1 ��`:� ' ` <br /> - ,., 1.1�.,�;�, , i � � � �� �,, �.- r !�"�. ,. 1„ �. <br /> SKETCH . ' i ' <br /> (Work to be done) . ' `� � �� <br /> "I i-� <br /> ._ �1`f��7�_ �L_' "- <br /> �UtVE`�.'T I: <br /> - � � � ��,., _. _ <br /> I ��bU. `= �SfT <br /> I ; <br /> " I <br /> i � <br /> I � <br /> I , <br /> � <br /> 1 � — <br /> ) <br /> 1= <br /> � <br /> ) <br /> 1 <br /> i <br /> i <br /> ORIVEWAY SECTION The undersigned owner hereby agrees to hold and <br /> NO SCALE save harmless the City of Evere[t from any and all <br /> r-- �� claims for damages that may arise because of installa- <br /> I" LIP tion and maintenance of the improvement hereto <br /> applied for and further agrees to remove same upon <br /> 30'+____ __,.�.;o" notice from the Ciry and to replace public property <br /> damaged thereby. <br /> �. <br /> Signature of Applicant <br /> COPY OF THIS APPLICATION TO Address <br /> 6E POSTED ON J06SITE. <br /> Telephone Number <br /> CALL ENGINEERING DEPT. 259�8811 <br /> 24 HOURS BEFORE CONSTRUCTION Date <br /> CHECK LIST Fee <br /> Water Valve Dept. Approvals <br /> Drainage <br /> Curb&Gu[ter Engineers <br /> Sidewalk Water � <br /> Street <br /> Communications <br /> Inspector's Signature Traftic <br /> Planning <br /> ate <br /> Remarks 11215 - <br /> ' Approved by <br />