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APPLICATION FOR RIGNT-OF-WAY USE PERMIT � . . � . <br /> . .^ everetl i_ � (.� -� _I <br /> � <br /> CITY ENGINEERS <br /> ;; <br /> EVERETT, WASHINGTON PERMITNO. ' � - <br /> The Undersigned ' � � � � <br /> Hereby applies for pertnission to i �1 - • � - � <br /> V <br /> / - � ^ _ <br /> i% , <br /> ��t the following Ixation •� � � ' <br /> SKETCH <br /> (Work to be done) � ;fi:,7 ��/ � i.�:' "� ,. , . �S;` ;<<_` r`L.t <br /> i . . �i{i�,.����Y',( ._!//�(!%.':'1_' ��l`�.�i�/i::/ l <br /> ��'r_'� /}�G,i?;r f/ /�iP�F�f�7�� /!��_' <br /> I I �l <br /> ' - - � <br /> 7'� <br /> --------•--------__ _----- <br /> - -- -- -- — - -— - - -- �; <br /> ��I . . n .,3iU . , .. ,, . . . -- <br /> I ��-,- <br /> DRrvEwav SEc710N The undersigned owner hereby agrees to hold and <br /> t+0 SCaLE savr harmless the City of Everett from any and all <br /> f'--- ---� claims tor damages that may arise because of installa� <br /> Y' UP tiun and maintenance of tha improvement hereto <br /> �,30'�___ ___ ___ _ _____y30'� applied tor and further agrees to remove same upon <br /> notice from the City and to replace public properry <br /> damaged thereby. . . <br /> Signature of Applican[ . <br /> COPY' OF 'fHIS ?PPLICAI"IOPllO ' Address , <br /> 8f POST[D ON JOBSITE. Telephone Number <br /> CAI_L [WGWEERiNG DEPT. 255�8811 � � � <br /> za HOUHS BEFORE CONSTRUCTIOJ Date _ <br /> CHECK LIST Fee <br /> Water Valve Dept. ApproVali <br /> Drainage <br /> Curb&Gutter Engineers <br /> Sidewalk N'ater <br /> Street <br /> Communications <br /> Insper.tor's Signature <br /> Traffic <br /> Planning <br /> �ate <br /> Remarks <br /> Approved bv � � ,- ',� ; , c -� _ <br /> L <br /> -�4' . �� � :�. � > <br /> .tf% i /i�Y!7L/F�>� .�,: t Gi; <br /> Date Approvrd :..... . � �'� �C�;. 0 <br /> . ., . �j,, , ! . . - <br />