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-' APPLICATION FOR RIGHT;OF-WAY USE PERMIT � <br /> rvcretl i <br /> I � _ <br />� CITY ENGMEERS <br /> I EVERETT, WASHINGTOM PERbtI i NO._ <br /> The Undersigned_ <br />� Hereby applies (or permission to � � <br />� <br /> At the following lor.ation_ � � _ . <br /> SKETCH — -------- <br /> (Wark to be done� <br />� <br />� <br />� <br />� <br /> � �: iv ; <br /> i <br /> DRIVEWAY SEC710N The undersigned ownr,r hereby a9rces to hold and <br /> NO SCaLE save harmless the City of Everett from any ,md ali <br /> F - 'i claims for dama9es that may arise because ot install,r <br /> Y' �ip __� I tion and maintenance o( the improvement hereto <br /> L30"y I 90" i applied for and further agrces ro remove same upon <br /> I_- �-�"�-- � --- - - � - �--T---'1 notice (rom the City and to replace puhlic property <br /> damaged thereby. <br /> Signature of ApP�icant —�� <br /> �' COP`lOF�THISAPPLIClaTION 10 � � i Address - <br /> BE POST[D ON JOESSITE. <br /> Telephone Number —� <br /> CALL ENGINEERING DEPT. 259�BR11 I . <br /> 3d HOURS BEFORE CONSTRi1CTIONi Dare -� <br /> CHECK IIST Fee � <br /> Water Valve Dept. Approvals i <br /> Drama9e <br /> Curb& Gutter En9ineers ' <br /> r_Sidewalk <br /> Water <br /> Street <br /> . _ Ccmmunir,ations <br /> Inepeelor's Sip'ta�uic <br /> Traffic <br /> Planning_ � <br /> �a tc -- <br />� ._ _ � -- --- --- . <br />� Hrm:u4.s .--- — ___. _. __ <br /> � <br />