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� APPLICATION FOR RIGNT•OF-WAY USE PERh11T <br /> evcrctl � <br /> � � 1 � � � <br /> CITY ENGINEERS •� � � _ y <br /> EVERETT, WASHINGTON PERMITNO. �S •� <br /> TheUndersigned�� /�/ `9'9 ' "r?/C.�rP �(�ir!,) t/ri+/ �d ,iqr'S <br /> Hereby applies for permission to_f!_JS�'.`_-; `� J;' �:T J.�� L' ��1JC�_' =����" �� �/ <br /> At the following Ixation_ 2 Y� �G'�C S " <br /> jZ,_ <br /> SKETCH <br /> (Work to be done) <br /> SFE AT'T/-lGy-G p . <br /> ' D.� To Gor�s7`'h�-� <br /> .2� ��/�� <br /> DRIVEw4Y SECTION The undersigned owner hereby agrees to hotd and <br /> NO SCALE . save harmless the City of Everett from any and all <br /> �— ---"� ciaims for damages that may arise because of installa� � <br /> p' L�p � tion and maintenance of the improvement hereto <br /> � applied far and turther agrees to remove same upon <br /> �„30';,4 __T3�" � notice from the,Ciry and to replace public property <br /> . d��;�-��� <br /> 3i n ture of pplicant . <br /> �L% �'�Y �7� 7 <br /> COPY OF THIS APPLICATION TO Address <br /> BE POSTED ON JOBSITE. o J. —&-SOb <br /> Telephone Numbcr � <br /> CALL ENGINEERIIJG DEPT. 259�8611 1� -�.S,� <br /> 24 HOURS BEFORC� CONSTRUCTION at� e — � <br /> CHECK LIST Fee �7 i, <br /> Water Vaive . ^" <br /> • Dept, Approvals <br /> Drainage � <br /> Curb&Gutter � . Engineers � � ��� �1.� . <br /> Sidewalk � • Water <br /> Street <br /> Communications <br /> Inspector'sSignamre � Traific <br /> Planning ' . <br /> �ate <br /> Remarks <br /> Nore: Original to Customcr <br /> , �°��y ,o F��� 110 4 9 <br /> 1 Copy to Inspecror Approved by <br /> Date Approved <br />