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APPLICATION FOR RIGHT�OF�WAY USE PERMIT <br /> CYCfC�� <br /> . � <br /> CITY ENGINE[RS <br /> EVERETT,WASHIfJGTON PERMIT N0. <br /> The Undersigned_ � <br /> Hereby applies lor permission to - _ . � <br /> At che lollowing location_ "�` <br /> SK[TCH <br /> (Worktobedone) u l � r ��(Il /'',l �'J ' • . '�'(% 1 � . ._ :�� �. �: . . " ` � . <br /> ''i:� r �/ :�_''- <br /> . � � . /� ,!� f� <br /> � i . � . ' � , � . <br /> DRIVEK'AY SECTION Thc unders�gned owncr hereby agrees to hold and <br /> NO SCALE save harmless the City of Everett from any and all <br /> . — --- -- � ---� claims for damages tha[may arise because oi installa• <br /> tion and maintenance of the improvement hereto <br /> � ��P applied tor and (ur[her agrees to remove same upon <br /> 3o';,j�____._—___._�,3� notice from the Ciry and to replace public properry <br /> damaged thereby. . <br /> Signature of Applicant <br /> �_�)PY OP THIS APPUCATION TO � Address <br /> .�E POSTED ON .IOBSITE. � Telephone Number <br /> �::.LL ENGINEENING DEPT. 259�8811 �, � <br /> :�7 HOURS BEfORE CONSTRUCTIOfJ� Date <br /> . .-- --. ..------------ - -- <br /> �CHECK UST Fee <br /> , wa�er vaive Dept. Approvals <br /> � Drama9e <br /> � Curb &Gutter En�inecrs_ <br /> � Sidewalk Water <br /> Street , <br /> Communications <br /> Inspector's Signature Traffic <br /> Planaing <br /> Datc <br /> Remarks . , � <br /> i'� <br /> Approved by ' � , <br /> !).� ,. _. _.�--.._--.`_� � <br />