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_ -• • <br /> � <br /> , _ <br /> ! , APPLICATIOiJ �OR RIGHT-OF-WAY USE PERMIT I i i � fi <br /> i everett <br /> 1 ,. � - <br /> � CITY ENGINEERS <br /> EVERETT.WASHINGTON PERMITNO._ � <br /> The Undersigned <br /> Herehy applies for permission to - - <br /> At the following location � � <br /> SKETCH <br /> (Work to be done) <br /> — ------^-Stde�l�lt;-'^ <br /> --�-------- --- --- . <br /> Se ✓erly Lav,e -� 51 ,2'� <br /> �- r l <br /> =---S;deWalK.-"-��1 i�"� vt,� �;,_ , <br /> - _----.�� ' <br /> , <br /> � , <br /> - .. -. . �,_. ; _ _ <br /> �. ; ,,._ <br /> Ex+s+��� g«��id��, - <br /> � e <br /> �.— 70' � <br /> t .. �, �� G .�. <br /> DRIVFWAY SECTION The undersigned owner hereby agrees to hold and <br /> NO SCaLE save Farmless thc City of Everett from any and ail <br /> r-- -----i claims tor damages that may arise because of installe• <br /> �N LIP� tion and maintenance of the improvement hereto <br /> applied for and further agrees to remove same upon <br /> �,30'+__ �3o'�I notice from the City and ro replace public property <br /> damaged thereby. <br /> Signaturr ot Ap��licant <br /> � COPY OF THIS APPLICATIOiV f0 � Address <br /> BE POSTED ON JOBSIT[. <br /> Telephone Number <br /> CALL ENGINEERING DEPT. 259�6811 � � <br /> 24 HOURS BEFORE CONSTRUCTIONI Date <br /> CHECK LIST Fee <br /> Water Vaive Dept. Approvals <br /> Drainage <br /> Curb&Gutter Engineers <br /> Sidewalk Water <br /> Street <br /> Communications <br /> I nspector's Sign atu rc Trattic <br /> Planning . <br /> ate <br /> Remarks <br /> Appraved by <br /> Date Approoed � <br />