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• everen APPUCATIn�; FOR RIGHT-OF-WAY USE PERMIT i.� ,_� <br /> . e . _ . <br /> CITY ENGINEERS <br /> EVERETT,WASHINGTON PERMIT N0. <br /> Tha U�dersigned <br /> Hereby applies tor permission to_ _ <br /> At the following Iccation � <br /> � � ( rl <br /> SKETCH <br /> (Work to be done� <br /> � ��1' • <br /> �.-�jIUC�i%� . � �_�r �4� �-' rI�'��� <br /> . <br /> �J <br /> `�^� .,I��v <br /> � - � <br /> t ���cP �� ' . <br /> U <br /> �\ <br /> � �: � <br /> �RIVEWAv SEC710N The undersigned owner hereby agrees to hold and <br /> {. NO SCALE save harmless the City of Everett from any and all <br /> I —� claims tor damages that may arise because of installa• <br /> I" LIP tion and maintenance of the improvement hareto <br /> I applied for and further agrees to remove same upon <br /> I'3O�– ��------ �---�30� notice from the Cily and to replace public properry . <br /> damaged thereby. <br /> Signa[ure of Applicant <br /> COPY OF THIS APPLICATION l0 Address <br /> BC ?OSTED ON JGBSITE. <br /> CALL ENGINE[RING DEPT. 259�8871 I Telephone Number <br /> �24 HQURS BEFORE CONSTRUCTIONI Date <br /> CHECK LIST Fee <br /> Water Valve Dept. ApprOvalS <br /> Drainage <br /> Curb&Gutter Engineers <br /> Sidewalk <br /> Water _ <br /> Street <br /> Communications <br /> Inspector's Signature Traffic <br /> Planning <br /> ate _ <br /> Remarks <br /> Approved by <br /> Datc Approved � <br />