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evcren APPUCATION FOR RIGHT-OF-WAY USE PERMIT I �� . <br /> � e -. <br /> CITY ENGINEERS <br /> EVERETT,WASHINGTON PERMIT NO. <br /> The Undersigned � � � <br /> Hereby applies for permission [o � - � � � <br /> At the following Ixation � <br /> SKETCH <br /> (Work to be done) �� <br /> r�� <br /> L�L+��L���✓� <br /> �� ��� � <br /> ! ��`� <br /> I ����� <br /> �\ <br /> __._�L y �'y � � � <br /> / I�� ,t /._. __ __ . <br /> _�_ � j <br /> •iH.���� ___ <br /> _. _ ._- � <br /> .� -, �, ; <br /> �� �� . <br /> � <br /> (� <br /> ,., <br /> , <br /> 1 � <br /> 0 <br /> N <br /> � <br /> _ UJ,2 ��,�i':. <br /> v G - � ----' <br /> �.�(> �' <br /> DRIVEwAY SEC710N The undcrsic�ned owner hereby agrees to hold and <br /> NO SCaLE save harmless lhe Cily of Everet[irom any and all <br /> �--- ---� claims for damages that may arise because of installa- <br /> ��I" LIP tion and maintenance of the improvement hereto <br /> �30'+___ _L30" applied for and further agrees to remove same upon <br /> notice from the City and to replace public property <br /> " damaged thereby. <br /> Signature of Applicant . i� <br /> COPY OF THIS APPLICATION TO Address <br /> BE POSTED ON JOBSITE. � <br /> Telephone Number <br /> C�LL ENGINEERING DEPT. 259�8811 <br /> 24 HOURS 6EFORE CONSTRUCTION � Date <br /> CHECK LIST Fee <br /> wacer vaive Dept. Approvals <br /> Orainagc <br /> Curb&Gutter Engineers <br /> Sidewalk <br /> Water <br /> Street <br /> _ Communica[ions <br /> Inspector's Signature Traftic � <br /> Planning <br /> —bate <br /> Remarks <br /> Approved by ,� <br /> Date Approved � <br />