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. � _...� . . ,, <br /> , � ,, �� � �a <br /> _ , APPLICATION FOR RIGHT•OFWAY USE PERMIT ,� ,� � 1� <br /> everen <br /> � <br /> CITY ENGINEERS <br /> EVERETT, WASHINGTON PERMITNO. �� <br /> The UnderSigned yL� � � � �',L;� " � • ` �-' - <br /> . . --�— <br /> Hereby applies for permission to `"-�:;��'_; �; � � _ , , ,"�-',�' �,� � <br /> ' i <br /> At the following location .� �� � '� � ��� i � � � -'���� � <br /> - ' . � . <br /> SKETCH <br /> (Work to be done) <br /> ►'A�u �`T'U-1 1.�.� <br /> t�p� ! <br /> -------r � ,� ---- — �_ <br /> � � <br /> :�rN� �. i <br /> . , <br /> � . <br /> � <br /> . �� . <br /> �- <br /> � `'���'��`� �� <br /> � �^ �� � <br /> '[�/�� <br /> i • � T _ __ <br /> � .._. <br /> -• \ <br /> i <br /> , <br /> ' ►-�1�_� �� , <br /> DRIVEWAY SECTiON The undersigned owner hereby agrees to hoid and <br /> NO SCa�E save harmle�s the City of Everett from any and all <br /> ' . ., claims for damages that may arise because of installa- <br /> r----- , _ <br /> +I" LIP �� tion and maintenance of the imp�ovement hereto <br /> 3�� 3� applicd tor and turther agrees to remove same upon <br /> —.� notic� from the City and to replace public property <br /> damaged thereby. <br /> Signature of Applicant <br /> COPY OF THIS APPLICATION TO Address <br /> BE POSTED ON JOE3SITE. Teiephone Number <br /> CALL ENGINEERING DEPT. 259�8611 ' <br /> 24 HOURS BEFORE CONSTRUCTION Date <br /> CHECK LIST Fee :�-�, _ <br /> Water Valve � Dept. Approvals <br /> Drainage <br /> Curb&Gutter Engineers <br /> Sidewalk Water <br /> �, � ' % �'j Street <br /> _������j��(j_._i- �� Communications <br /> Inspector Signat e , � Trafiic <br /> /` ,�/_ � � Planning <br /> ate <br /> �` !/ <br /> Remarks <br /> �,'lpproved by % �✓ <br /> -�.,� ,�-i�� '�.�Cy��. , , <br /> Date Approved . � � n <br /> . . �.J '-��,�'7� � <br />