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everen <1FPLICATION FOR RIGHT-OF-WAY USE PERMIT � -i U J � <br /> I � <br /> CITY ENGINEERS <br /> _ . i.., ., f , <br /> EVERETT, WASHINGTON PERMITNO. � <br /> The Undersigned � � . � �;�.'} .. . . . - . <br /> Hereby applies for permission to - � <br /> At the fol�owing location ' � <br /> SKETCH <br /> (Work to he done� <br /> ORIVEWAY SECTION , The unde:signed owner hereby agrees to hold and <br /> NO SCALE . . save harmless the City of Everet[from any and all <br /> �-- � � claims for damages that may arise because of installa� <br /> f'� +��� ��P tion and maintenance o(the improvement hereto <br /> � \ applied for and further agrees to remove same upon <br /> �30'+, <br /> 30" notice from the City and to replace public property - <br /> -- ._- ------- --�-- --- <br /> damaged thereby. <br /> 1 "t /i I.' <br /> Si nat re of Applicant w� � <br /> 9 �{ <br /> ��! i�-:� ( �' � �fv1 j•;�,� , <br /> � COPY�OF ��HIS APPI.ICATIUld TO �AddresS , ` <br /> ,, :,:J� �..� - � I ".3.�G <br /> 6F_ POSTED OfJ JOBSITE. �" � � � <br /> Telephonc�Number""'"-""��—_�-- � <br /> CALL ENGINEERING DEPT. 259�fl811 �' t � �-", '�'i���� �T;�� -� �� <br /> 24 HOURS BEFORf_ GONSTRUCTION� 0.a� �' <br /> CHECK LIST Fee <br /> Water Valvc Dept. ApproValS <br /> Drainage <br /> Curb&Gutter Engineers __ _ <br /> Sidewalk Water <br /> Street <br /> Communications <br /> Inspector's Signature Traffic <br /> Planning <br /> ate <br /> Remarks —' ��� <br /> Approved by <br /> Datc Approved � <br />