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APPLICATION FOR RIGHT-OF�WAY USt PERMIT <br /> cri"etti � - .. . .�_ � <br /> �.� <br /> CiTY ENGINEERS _ , <br /> EVERETT,WASHINGTON PERMIT N0. � �� _ <br /> The Undersigned - <br /> Hereby applies for permission to - � - � T��� � <br /> I <br /> At thc foliowing Ixation � _ _._ _— _ -- - --- <br /> SKETCH <br /> (VJork m 6e done) <br /> / <br /> DRNEWAY SCCTI04 The widci;igned rn men c�icby agrceS lo hold Bnd <br /> KO SCALE save hannless the G-ly of Everelt (rom any and all <br /> �� - - - --- � � claims for damages that may arise because of installa� <br /> " LIP tion and maintenance of the improvement hereto <br /> � - - . applied for and further agrees to remove same upon <br /> � 30"-'- � �3�",.� notice from the Ciry and to replace public property <br /> ' � damaged thereby,' �, <br /> Siqnaturc of Applicant� <br /> � > = ,v't`�'�. 1 GJ�7c� <br /> :;r1PY OF THIS APPLICATION TO Address � , ! <br /> ;�� ?OSTED ON JOBSITE. � ' ���',' ����� --- <br /> - Telephone Number <br /> ICAIL ENGINEERING DEPT. 259�8611 ��� ,� . ?�{'--,%-�� . <br /> 24 HOURS BEFORE CONSTRUCTION Date �� ' <br /> CHECK LIST Fee <br /> Wate� Valve Dept. A�provals <br /> Draina�e <br /> Cur6&Gutter / En9ineers — <br /> Sidewalk WaMr <br /> � Street <br /> � _ �L</ <br /> . Communications . <br /> IpSpector' Signature Traffic . <br /> � �. f (�i� Planning <br /> S ` �� cJ <br /> _Datc <br /> Hem,uks - ----- - � --- -- - <br /> � i. :145 <br /> Annroved 6y � - . <br /> ii �i� . � � . .� ,. <br />