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everen APPLICATION FOR RIGHT-OF-WAY USE PERMIT � 1119 `� , <br /> — � � <br /> CITY ENGINEERS <br /> EVERETT,WASHINGTON PERMIT NO, ii- " <br /> T1ieUndersined � ` '�!�� � - - <br /> 9 �; t.', .'i <br /> Hereby applios for permission m ��� r � !� � � � :> c �f� r " � � . ��7��r'r^r- �� <br /> l E'� ,r /G-�. v <br /> At the following Ixation /q � G, hi �= �r� i 7`f <br /> SKETCH � _ <br /> (Work to be done) / �J-;-.;:�-•!;'.-,r.I � <br /> , 'l._ i���;�:� . � ;�.' �v,�i�sT�,c ro �� .��-> o.�,. :";,: , , ;' :' �,c <br /> �%�� .�'/1Clc�/✓ G�i✓ //i1'� LI 7�r'91f1f_ � ��E9��. • <br /> �% ?�11f/P�TE.0 /t�!'i 7G' � �'l,�D 8 � . . - ,,; <br /> � �fJ,�/PsT�G ..(���T T�� ��'.t/f7//�/ /N %''`,' <br /> ,__."L i� ,-/C i�.� .. 'Vf_J .C` `"�l P_t/f,�L���7 � ��.0 L ".%' .-.1� . • ---, <br /> , <br /> ' '} <br /> ' , _ <br /> DRIVEWAY SECTION The undersigned owner hereby agrees to hold and <br /> , NO SCnLE save hartnless the City of Evere[t from any and all <br /> � � claims for damages that may arise because of installa• <br /> +I" LIP 7� tion and maintenance of the improvement hereto <br /> 3�'� I 30" I applied for and further agrees to remove same upon <br /> ----'—'t'-�l rotice from the Ciry and ta_replace public property <br /> d � aged thereby?`� !�.��� <br /> 0 <br /> { �,,I 'rcC; ' i�f.7,: ^*-�� <br /> Signature of Applican) �� <br /> /r� / � (�o /, � ar .� - q .��� <br /> COPY OF THIS APPLICATION TO Address <br /> BE POSTED ON JOBSITE. � � 2� U (P �' 2 <br /> Telephone Number <br /> CALL ENGINEERING DEPT. 259�8811 ; _. -� _ 7 �� <br /> 24 HOURS BEFORE CONSTRUCTION Date <br /> CHECK LIST � ' <br /> Water Valve Fee , � �;-� , ::!-- _ <br /> Drainage Dept. Approvels ' � <br /> Curh&Gutter Engineers_ ���� '� �� i`,i`+.��i�� . � � <br /> Sidewalk <br /> Water <br /> Street� <br /> � <br /> Communications � <br /> Inspector's Signature \ <br /> Traffic <br /> Planning � <br /> ate � <br /> \ <br /> : <br /> Remarks � <br /> � ' `� � <br /> .:. _ .. .'. ,�-/ <br /> 1 <br /> Approved by � - � <br /> . ,.. .._., , Date Approved a <br />