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rt�vctt APPUC/1TION FOR RIGIIT-OF WAY USC- PERMIT <br /> � <br /> CITY f'NGINEEI�S <br /> FV[ReTT, WFlSHINGTON <br /> PERh11T NO. <br /> The Undersigned <br /> H:'�eby aP�lies (or permission m------� . - — . . <br /> At the tollowing location " � ,.' � � � � . . . — <br /> SKETCH __ <br /> 1lVo�k �o be donr) _— -_ ___ <br /> � '� :� � ,-_ / <br /> ��`�.�. <br /> � . , <br /> i <br /> I <br /> � <br /> , <br /> v � <br /> I <br /> - -�'��------- -------_-�_- <br /> ;,�' C� � . _—�-_i�----__.__-- ---- � . <br /> � -�• , <br /> . <br /> c - _ <br /> �_-_..�-- � � � � I�,. � 1!•L: <br /> �\ <br /> DRIVEWAY SECTION ~ The undr�.su nr ---'-- � � <br /> NO SCALE �[Lownrrfic�6yiyi��s to h01d :ind <br /> •- _ __ __ . � _____---�-sHve ia�mless ihe C�ty of Everett trom any and .�II <br /> � ----}-� -� � � ciaims for damages that may arise hecause oi in;tali�� <br /> --- <br /> ��—_- ���� � '�' ._ _ _� tion and maintenance of the improvement hereto <br /> _ _ <br /> .,,j�'� � � �30�� applied for and (urther agrees to remove samc up^n <br /> � ` notice trom the Cit�/ and to replace puhlic proc�eny <br /> darnaged ihoreby. <br /> Sig�,ature of AUP�icant ----- - <br /> COPY OF THIS APPLICF1710N Tp � Address - <br /> BE POSTED ON JOBS�TE � <br /> CALL ENGINEERING DEPT. 269-8811 � Telephone Number <br /> 74 HOURS BEFpRE_CONSTRUCTION� Date - <br /> �HECK UST Pee <br /> Wamr Valve <br /> : Drainage D@pt. Apptovals <br /> � Curb�Gutter Engineers <br /> � SideH•alk --. <br /> Water <br /> Strcet <br /> I��t�:��,�t���;5,,;��,num Communications - <br /> Traffic <br /> Planning <br /> D,ibr <br /> 1{��nr .,�. �, <br /> App�oved ny _. . . <br /> �. � � . � . , CS <br />