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everett <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT � `� :, - 'I <br /> e <br /> CITY ENGINEERS <br /> EVERETT,WASHINGTON PERMIT N0. <br /> TheUndersigned ���'! � � <br /> Hereby applies for permission to � • � � <br /> ; <br /> At the follow�ing location � � � . . � <br /> SKETCH <br /> (Work to be done) � - � . � � <br /> ... --—--�---------=--_ .. <br /> - �. , . _ / M ur�/� e�o __�-- <br /> �� rea Is C=' � v_ r /D � S�t�� r P�s�l���l� t. . <br /> _ � <br /> � <br /> ��� <br /> c� <br /> , _ <br /> nkrr��sSiDr� �n �-emove 2x�5�'�:, <br /> ; _ <br /> ' ''� j -f-'ron-i N��--th side o -� C'c7rporf cJ�ivecuay � � <br /> ` ro�. /�i� e� �,r�d �'ron� sfreef ��u�-6 -�o F�sf e�,d <br /> s,r�h al t Th�'s �s �o ��P v�h f GuBfer �'r nh�� �'ail„�� �o: <br /> r., ; � -'- , r ., � � ' <br /> , <br /> DRiVEWAY SECTION � The undersigned owner hereby agrees to hold and <br /> NO SCALE save harmless the City of Everett from any and all <br /> � -� daims for damages that may arise because of installg• <br /> +I" LIP --� tion and mointenance of the improvement hercto <br /> I 3 applied for ard further agrees ro remove same upan <br /> �Q1�_ --_�30 � <br /> , notice from the City and to replace public property <br /> damaged thereby. � <br /> Signature of Applicant <br /> COPY OF THIS APPLICATION TO Address <br /> BE POSTED ON JOBSIT[. <br /> Telephone Number <br /> CALL ENGINEER�NG DEPT. 259�£3617 <br /> 24 HOURS BEFORE CONSTRUCTIO� Date <br /> CHECK LIST Fee <br /> Water Valve . Dept. ApprovalS <br /> Drainage <br /> Curb&Gutter Engineers <br /> Sidewalk <br /> Wa[er <br /> Street <br /> Communications <br /> Inspector's Signature Traific <br /> Planning <br /> ate <br /> Remarks <br /> Approved by � <br /> Datc Approved � 0 <br />