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rverc�� APPLICA710N FOR RIGHT-OF-WAY USE PERMI'i <br /> � <br /> CI7Y ENGINEERS <br /> EVERETT, WqSHINGTOM1' <br /> PERMIT N0. <br /> The Undersigned_ <br /> Hereby applies for permission to � <br /> At the following locatiun_ � . . <br /> SKETCH -- <br /> (Work to be done) <br /> , . . � . . . . . f.;. �.: � � . <br /> '' // c'I�f�/'ii�I'�l'c:P� � ��frL.''� ' <br /> DRIVE��VAY SECTION The undersi ned o�vner hereby agrees to hold and <br /> NO SCALE save harmle s the.Ciry o( Everett from any and all <br /> � �� claims for damages Ihat may arise because of installa� <br /> �--'L ��P _� tion and maintenance of the improvement hereto <br /> �30" I � I 30" I applied for and further aqrees[o remove same upon � <br /> ' '�� notice from [he City and to repiace pu6lic property <br /> damaged tliere6y, <br /> Signature oi Applicant <br /> ------- — � --- ----- <br /> , COPY Of� THIS AP?LICATION TO � Address <br /> I GF PCSTED ON JORSITE. � � � % <br /> CALL ENGINEERING DEPi. 259�88�1 Telephone Number <br /> 24 HOURS 6EFORF CONSTRUCTIGN� Date <br /> CHECK LIST � Fee <br /> Water Valve <br /> Drainage Uept. Approvals <br /> Curb&Gutter Engineers <br /> Sidewalk � <br /> --- - Water <br /> Street <br /> Inspector's Siyna[ure � Communications _ <br /> Tratfic <br /> Planning <br /> bate------------ <br /> Remarks ------------- _ — <br /> � <br /> ApP'�ved by <br /> - �,�t ni����o��a a <br />