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APPLICATION FOR RIGHT•OF-WAY USE PERMIT ��� n � <br /> everett <br /> . � r{ <br /> CITY ENGINEERS _�� ,- �, <br /> EVERETT, WASHINGTON PERMIT NG. ' -x� I <br /> The Undersigned +-� � ��-�� � � � ���"= '� <br /> Hereby applies for pertnission to r/I i_ s� � � - -+ � :�����•' � :��-f :.'� f � �/n,,, � � '� � �, :r,�„" <br /> , � � � <br /> � l)v E�N �� ' / I=/ G/L /_ 17� . � _ dl L_l. - ..r rV � �.�./ <br /> � <br /> At the following Ixation �� � �� � ! � ;' i� i .1 x I n�.F � <br /> SKETCH , <br /> IWork to be donel " /iU:ST�}L L /.t''��',:'�i/LT�C?C 1��= T/��� <br /> /�,15'T,+�,C �+f�'TC�/�.�fi�/fCl/j �- <br /> ���S. NGk'1"N /�Gf�F.�C'T�.4 //C�.� <br /> I <br /> 1 <br /> � � <br /> 1`/ / ' <br /> �� � <br /> !, `� . <br /> -- � -__ ------ ----- - ------ -- — >� r u <br /> _ - - - - _ <br /> __�� <br /> - - - - - <br /> _ . ___ _ -- <br /> --- -- -- — - --- --i z � ,�e�p <br /> �IFi.� oi/�in1 ,a✓F_ 1 ' ��, ot <br /> — -- --_ --— <br /> , ----------- <br /> .+�l�i�UR. . <br /> t� �o � _ _ _._ . ___ __� <br /> t <br /> � <br /> 1 <br /> I <br /> DRivEwav SECTiON The undersigned owner hereby agrees to hold and <br /> NO SCaLE save harmless the City ot Everett from any and all <br /> �— --� ciaims for damages tha[may arise because of installa� <br /> � 1�" �ip tion and maintenance of the improvement hereto <br /> applied for and further agrees to remove same upon <br /> 30" _�-____y3o'� notice from the City and to replace public property <br /> damaged thereby. , <br /> ..., � . �...._--- <br /> /I/�„v /.�� �_ _ / -� ; : . i „ <br /> 'Signature of Applicant ' . -� <br /> �;. � „� �/ %'�r �.� �. ., f i . <br /> CGPY OF THIS APP�ICATION TO Address � <br /> BE POSTED ON JOBSITE. - `�'� ��� � / -�� � � <br /> CA�L ENGINEERIYG DEPT. 259�8817 Telephone Number ;� ; <br /> . � .-3 _. �.�' �"/ <br /> 24 HOURS BEFORE CONSTRUCTION Oate ` ' <br /> ---- ---� ---- /�i �.- �' �� � <br /> CHECK LIST Fee _ ' � � <br /> WltBf VB�VP. /V J r ��� <br /> Drainage Dept. Approvals <br /> Curb&Gut[er Engineers <br /> Sidewalk Water � <br /> -- - � <br /> �� � — Street__ � �� <br /> Communications <br /> In ' Signature � <br /> Traffic <br /> /1�/� f CI �� Pla�ning <br /> 7 � U � ,� <br /> ate � r , <br /> Remarks <br /> 11641 — <br /> A <br /> ApProved b `'" � � <br /> � �7�'�i.� � �'� � � <br /> ��: _ <br /> . Date APProved(,.- `,��/ /�� 0 <br /> INSPECTOR'S CGFY . � <br /> -... <br />