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APPLICATION FOR RIGHT-OF-WAY USE PERMIT 113 6 8 <br /> everett <br /> . ' � <br /> L'ITY ENGINEERS <br /> EVERETT,WASHINGTON PER��ITNO. � "-`� `f' <br /> The Undersigned " � • � <br /> Hereb� applies for pemiission to �" � �` - � � <br /> „ — <br /> At the following location .- � � <br /> SKETCH — <br /> �Work to be done) <br /> DRIVEWAY SECTION The undersigned owner hereby agrees to hcld and <br /> NO SCALE save harmiess the Ciry oi Everen from any and all <br /> f'-- —�---��� claims fnr damages that may arise because oi installa� <br /> I�� LIP tion and maintenance of the improvement hereto <br /> applied for and further a�rees to remove same upon <br /> r�I 30'+__ _______ I 30" I notice from the Ciry and ro replace public property <br /> -r --� <br /> damaged therehy. <br /> � - - . <br /> Signalure of�Applicant <br /> COPY OF THIS APPLICATION TO Address� <br /> BE PUSTED ON JOBSIT[. <br /> CALL [NGINEERING DEPT. 259�8&11 Telephone Number <br /> 24 HOURS EEFORE CONSTRUCTION Date <br /> CHECK LIST Fce -�. <br /> Water va�ve Dept. Approvals <br /> Drainage <br /> Curb&Gutter Engineers <br /> Sidewalk � Watcr � <br /> /� " � � ; ���� Street <br /> � . :- . . i ,,-. <br /> /.- ��4. �'� Communications <br /> Inspector's Signawre � <br /> i` 1�: Traffic_ _ <br /> . Planning � <br /> atc <br /> Remarks — <br /> ]. 136 � <br /> � APPraved by .� ;�i�.. ��.� - <br /> � ,�� '` �i�.�' -�%� <br /> INS?ECTORS COPY Date Approved � ���/ � .%� � <br /> , �. ,-r�^/.��>" <br /> , <br />