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� <br /> �, <br /> • AP�PLICATION FOR RIGHT-OF-WRY USE�P�ERMIT 11:3 6 6 �/"�� <br /> everett � `b/ <br /> e <br /> CITY ENGINEERS PERMIT N0. <br /> EVERETT,WASHINGTON <br /> " t , � ' ' �./. <br /> The Underoigned - . .- <br /> ,. , , / <br /> Hereby applies for pertnixion — <br /> At the follovyi g I ation ' " '� <br /> SKETCH <br /> (Work to be done) <br /> � <br /> ' , i�_ ; <br /> : '.l�i, � 1 y � <br /> i . . . , ��:� - <br /> �� I..�"� �. �` � �� . <br /> . `a <br /> - � I <br /> --------------_ ...___. _.._---- -�--.. <br /> ;�r.y �n;�,� r <br /> ORIVEWAY SEC710N The under,ioned or.ner hereby agrees to h�ld and <br /> NO SCALE save harmless the City of Evcrett from any and all <br /> � _.�.J claims for damages tha[may arise because of installa� <br /> � tion and maintenance of the improvement here[o <br /> f' �ic� applied for and further agrees to remove same upon <br /> � � �—_ 30" notice from the Ciry and to replace public property <br /> t'—�-- damaged thereby. . <br /> Signature of Applicant <br /> Address <br /> COPY OF THIS APPLICATION TO � <br /> BE POSTED ON JOBSITE. Telephone Number <br /> CALL ENGINEERING DEPT. 259�8811 <br /> Date <br /> 24 HOURS BEFURE CONSTRUCTION <br /> Fee <br /> CHECK LIST pept. Approvals <br /> Water Valve <br /> Drninage Engineers <br /> Curb&Gutter Water <br /> Sidewalk <br /> Stree[ — <br /> Communications <br /> Inspector's Si9nature Traftic — <br /> Planning <br /> ate <br /> . Remarks � � r r <br /> U C <br /> �i / <br /> � /���� Approved by . <br /> 3 <br />