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everett APPLICATION FOR RIGHT OF-WAY USE PERMIT <br />• , : <br />CITY ENGINEERS <br />EVERETT,WASHINGTON <br />The Undersigned � <br />1lereoy applies for permission to - <br />At the following 1� <br />SKETCH <br />�Work to �x dune) <br />i <br />m <br />11297 <br />PERHIIT NO. - � '' - <br />, <br />._.—,c - _ :'1.� r 7 ' - <br />� �) <br />..._. _..__. _i <br />�' U i �=i\ <br />Ca,'�vS,UG <br />c , ^'�,, <br />� v,'.ti <br />i <br />.. <br />r�} <br />�,�.. <br />J�� ` � � _' i <br />J� l: • � j <br />` � i <br />QJ <br />t U� <br />;' ` <br />�'\ <br />�c�- � <br />.�� <br />_��\ ��� <br />!� ; \:= t— .� 1LT `. i� � ' <br />,_ �`';=;v!n:� � a <br />_ : <br />(',_':�:_..�'` , - :'1 '--.L. i�_ _ . . <br />' O ( <br />DRiVEWAY SECTION : � <br />NO SCALE -- � �'� <br />r--- ----- -=-� <br />I" LIP <br />f��o" � � so'� <br />COPY OF THIS APPLICATION TO <br />BE ?OSTED ON JOBSITE. <br />CALL ENGINEERING DEPT. 259�8811 <br />24 HOURS BEFORE CONSTRUCTIONi <br />CIIECK LIST / <br />Water Valve � � <br />Drainage � � . <br />Curb & Gutter � / <br />Sidew. ,k � <br />- , <br />I' a-6 te — <br />i <br />IRemarks <br />� <br />I <br />___.. . . .._ � ✓ <br />I I . <br />The undersigned owner he e�agrees to hold and <br />save harmless the Ciry of Everett from any and all <br />claims for damages that may arise because of installa� <br />tion and mamtenance of the improvement here�o <br />applied for and further agrees to remove samc upon <br />notice from the Ciry and to replace public prop�rry <br />damaged thereby. <br />Signature of Applicant -- <br />Telephone Number - <br />Date <br />�� �5','�Cc��� � Fee ---�-- <br />�� Dept. Approvals <br />re � .3 •+�'��G <br />11297 <br />IN�P[CTOR'S COPY <br />Ccmmunications <br />Approved by <br />Date Approved <br />U <br />