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APPLICATION FOR RIGHT-OF-WAY USE PERMIT � � 3 6 6 <br /> everett <br /> , � <br /> CITY ENGINEERS . <br /> EVERETT,WASHINGTON PERMITNO. � <br /> The Undersigned i.' '� <br /> Hereby appiies for permission to -� . ! .= �`.� n �p� <br /> l'' <br /> At the tollowing location � � � < ? <br /> SKETCH <br /> (Work to be donei <br /> _ <br /> ,.._...___ _ . _ . � . . .. � ,. . � � , . , <br /> ± <br /> � � i. V �� <br /> 1---,__� . .�. . � . ��• <br /> i <br /> � <br /> � <br /> ,�, - � - ., .! .� � - �,i <br /> D�trvEwav SECi'i0N The ur�dersi�ned o�vner hereby agrees to hold and <br /> NO ScaLE save harmless the City of Everet[from any and all <br /> f`- � claims tor damages that may arise because of installa� <br /> � +I'� LIP tion and maintenance oi the improvemen[hereto <br /> ' applied for and further agrees to remove same upon <br /> �0'�____ _ ___ .__�30" I notice irom the City and to replace public property <br /> ^I <br /> damaged thereby. <br /> Signature of Applicant <br /> ', T: <br /> COPY OF THIS APPLICATICN TO Address <br /> HE POSTED ON JOBSITE. � -` �� � '��� �-- / <br /> Telephone Number <br /> CALL ENGIfJEERWG DEPT. 259-8811 - , : ; :� �' <br /> 24 HOURS BEFORE CONSTRUCTIOtJ Uate � <br /> CHECK LIST Fee <br /> Water Valve <br /> Drainage Dept. App�oVals <br /> Curb &Gutter Engineers <br /> Sidewalk Wato-r <br /> �/ Street <br /> G/�-�� �/�r1.r.r�� Communications <br /> Inspector's Signature <br /> Treffic <br /> '�� /� _�� _�� Planning <br /> at-6 e- <br /> ��/�� �� <br /> Remarks� <br /> 11. �66 , <br /> � APProved by . ' 4. �ti .:_ <br /> '� i� <br /> Date Approved �� � <br /> r��cro�z�s cor-r <br />