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everett �1FPLICATION FOR RIGHT•OF-WAY USE PERMIT <br /> � . . � �! �1 � 99 <br /> CITY ENGINEERS <br /> EVERETT,WASHINGTON PERMIT N0. i�(r�� .'�^���' � <br /> TheUndersigned � ' �.� 1,,;�, ��'i <br /> Hereby applies tor permission to ��� i:,� �� � !'� v r" % '� .� '�! � - . <br /> ��, <br /> At the following location .�7 � - <br /> SKETCH <br /> (Work to be donc) . �� � <br /> I 1 - <br /> i <br /> �^ �1_I <br /> �i, i . o <br /> , ,���•i � , � <br /> , i � �� <br /> ORrvEWav SECTiON The undersigned owner hereby agrees to hold and <br /> NO SCaLE save harmless the City of Everett from any and all <br /> � � �� claims for damages that may arise because of installa� <br /> I" LIP [ion and maintenance of tlie improvement here[o <br /> �30'�_ _ _ _ . �3p�� I applied (or and further agrees to remove same upon <br /> �. notice from the Ciry and to replace public properry <br /> damaged thereby. . . <br /> Signature of Apphcant _ — <br /> �. . . . . . __ , . . � . . ..:. . .-, ;'`' -.... <br /> _1 �, <br /> I COF i OF �(HIS APPLICITION TO Address ., <br /> � 13E POSTED ON JOBSITE. j � � � � ,=t� (j� ' <br /> ' Telephone Number <br /> CALL "cNGINEERING DEPT. 259�8311 � � .7�5 <br /> I ?4 HOURS f3EFORE CONSTRUCTION Date , . <br /> CHECK LIST Fee <br /> Water Valve <br /> Drainage Dept. Approvals <br /> Curb&Gutter Engineers <br /> Sidewalk <br /> Water <br /> / ` Svcet <br /> L� � <br /> In Signature Communications <br /> ` , � Traffic <br /> �v6 �� . � . Planning <br /> ate <br /> �oa f-� Gao v <br /> Remarks <br /> '� � ^ l� L� <br /> Approved by <br /> I;._i ::,1_. .-nr i. <br /> Date Approved 0 <br />