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APPLICATION FOR RIGHT-OF•WAY USE PERMIT <br /> everetl I _i �� Ei j <br /> � <br /> � CITY ENGINEERS <br /> EVERETT, WASHlNGTON PERMITNO. <br /> The Undersigned <br /> Hereby applies for permission to <br /> At the following location <br /> SKETCH <br /> ('Nuik tn bc donc) <br /> ' ',ewb�����ry . <br /> _ _ . ,_ . ,_ __ -- -- <br /> .;��:-,��,, . % _ � �`� .�--{ �' <br /> � -� / - � <br /> �yr` <br /> '` s � C C 1z <br /> , �:�. �`',�r. � _ . ��1�. � <br /> ,��., � � ��u�l k <br /> ,[.-v�h.' � _ . ' . . `-� � � . <br /> � � �� � <br /> },�:� � <br /> ,_ � <br /> �,�.� . <br /> r: <br /> :.: ,; <br /> 1i � <br /> T:.� <br /> i�Si:��� .. . � � . 1 , <br /> I <br /> ... ' . � . .C� . I <br /> DR�vEWAr SECTiON The undersigned owner hereby agrees to ho�d and i <br /> NO SCALE save harmless the City of Everett from any and all ' <br /> � — -'j claims for damages that may arise because of installa� ' <br /> �'� LIP tion and maintenance of the improvement hereto ' <br /> applied for and turther agrees to remove same upon <br /> �30'�f., _ .�f„3o"� notice irom the Ciry and to repiace public property <br /> damaged thereby. <br /> Signature of Appiicant <br /> �.'.f1PY r�f� l:"J�., ;PPI I��.;� '�. i�r,. �., Addre:s <br /> 'dC PUSTED ON JOE3SITF. � <br /> � Cr.LL F.NGINEERING DEPT. 259�8671 <br /> Telephone Number <br /> �. 74 HOURS �[FORE CONSTRUCTION Datc . <br /> CHECK LIST Fee <br /> Water Valve DCpt. Approval5 <br /> Drainage <br /> Curh &Gutter Engineers <br /> Sidewalk Wa�er <br /> Street <br /> - _ _ Communications <br /> Inspectoi's Siynawre Traffic <br /> Planning <br /> 651c — — <br /> ___-- _ - <br /> Remarks �-- - ' <br /> Approved 6y r. <br /> Date Approved 0 ' <br /> +�� <br />