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� <br /> APPLICATION FOR RIGHT•OF-WAY USE PERMIT ' �1Z15 <br /> ,,� everett' ', •.:.� • <br /> � q�, � � ,"_"� <br /> CITY ENGINEERS <br /> EVERETT, WASHINGTON PkRMITNO. 7S '�Z I <br /> The Undersigned_//L'7L`�,��i.j� �- LI,.S Crl� L►. � �Ui�i � .I �1r� <br /> Hereby applies for permission to �:-�a i e., n •C, u � � •' '",� J"� i NC h <br /> 1=� ' - — (� - : i . <br /> At the following location �/-1Y L t _ y : f � � '�•[• �• u ' f.��/ � <br /> / � � Y r � i, ,�- -L �� '� .% ' C . <br /> SK CH <br /> (Wo�k to be done) /�z /� <br /> - .�IS ��-� � l.���.- <br /> f '.�. s F�' � �.�N a:�,� _ <br /> uc�. �� - - — <br /> �\ <br /> � � � <br /> V <br /> 1•' `i� <br /> \ <br /> DRIVEWAY SECTION The undersigned owner hereby agrees to hold and <br /> No sca�E save harmless the City of Evcrett from any and all <br /> �—"--- � claims for damages that may arise because of install3• <br /> �-- t�" L�p tion and maintenance of the improvement here[o <br /> applied for and further agrees to remove same upon <br /> �30"�_ . __T3�"„� no[ice from t City and o repla public property <br /> d�r agectt eby. <br /> '�'� <br /> Sign �re o.f�P/p lic.ant <br /> r -- <br /> 'G l.A ' �1 S� vitv/� � <br /> COPY OF THIS APPLICATION TO Address <br /> BE POSTED ON JOBSITE. ? S��- 1 Ci G J <br /> Telephone Nu er <br /> CALL ENGINEERI^IG DEPT. 259-8311 �'��� <br /> 24 HOURS BEFORE CONSTRL'CTIO� ��1e n <br /> CHECK LIST � � Fe�� y�� <br /> Water Valve � / <br /> Drainage (' f;� Dept. Approvals <br /> Curb& Gutter SJ��� Engineers <br /> Sidewalk Water <br /> Street <br /> Cpmmunications <br /> Inspector's Si�nature Traffic <br /> Planning <br /> �ate -- <br /> Remarks � � � � C <br /> J <br /> Approved by <br />