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• APPLICATION FOR RIGHT-OF•WAY USE PERMIT 11206 <br /> everen <br /> � � e <br /> ' CITY ENGINEERS <br /> EVERETT, WASHINGTON PERMITNO. %r� - ' ' <br /> The Undersigned -� ���� ' ��%i �" ��� <br /> . <br /> Hereby applies for pertnission to �- - ' � � �� � `t , �.•'l. �.' <br /> At the following location --- --7-�-.-...-:;-..__{{...'.:�_:.,,..,..__�..:-,__.,.�._�,� _�_ <br /> SKETCH <br /> (Work to be done) <br /> J I <br /> I <br /> � � <br /> i i <br /> .! 2iJ ;�- . <br /> --� `_ <br /> � � <br /> . . �����! ��� . . <br /> DRIVEWAV SEC7i0N The undersiyned owner hereby agrees to hold and <br /> NO SCA�E save harmless the City of Everett from any and all <br /> �— --"I claims for damages that may arise because of installa� <br /> � +I'� LIP tion and maintenance of the improvement hereto <br /> applied for and further agrees to remove same upon <br /> �30'�__ _______ ___�3�'�� notica from the City and to replace public property <br /> damaged thereby. <br /> � <br /> Signature of Applican[ <br /> � <br /> - , - �� ..�, _�� . , , <br /> COPY OF THIS APPLICATION TO Address , . . . <br /> BE POSTED ON JOBSITE. ' � � , �� `' 1 <br /> CALL ENGINEERING DEPT. 259�8811 Telephone Number <br /> I24 HOURS BEfORE CONSTRUCTION Date <br /> L-- <br /> CHECK LIST Fee <br /> Water Valve Dept. ApproVels <br /> Drainage <br /> Curb &Gutter Engineers <br /> Sidewalk Water <br /> L ' Street_ <br /> _ Communications <br /> Inspn [ ' ignalure Traffic <br /> 3 � v EL � J� y Planning <br /> ate <br /> Remarks <br /> 1�206 <br /> Approved hy . � - " <br /> � INSPECTOR'S COPY Date Approved ' <br /> � <br /> � <br />