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everen APPUCATION FOR RIGHT-OF-WAY USE PERMIT �_ 1 J J I <br /> e <br /> CITY ENGINEERS <br /> EVERETT,WASHINGTON PERMITNO. � <br /> The Undersigned <br /> Herehy applies for permission to <br /> At the following location � � <br /> : . <br /> SKETCH +.. .� /� <br /> (Work to be done� �'��- � <br /> ,, .,� � <br /> ._.� �._.__ <br /> - ' ,:� '"-.�., <br /> ;i � �}l'. '- • <br /> ! <br /> ._ . .{- ., ,J1/lI�_��,��-=__.�--_-'_'� s'.".,,�.._ <br /> t A . <br /> � � 9 /..` <br /> ' � `- ; _ _ <br /> ��• .,i � <br /> � ' <br /> � !°I <br /> , ,�� �,.�,�;,, <br /> � "� �--- - �/ <br /> �9 �/,�t '� <br /> c, �`,I Y ,•�._ �. <br /> '� �! ``-�--- f6 c�, <br /> ';R.{? -/'" ��-���- , <br /> '� �` � � � � <br /> - - / �� � <br /> , , . <br /> v� <br /> �- <br /> DRIVEWA. SECTION The undersigned owner hereby agrees to hold and <br /> NO SCaLE save harmless the City of Everett irom any and all <br /> � -� claims for damages that may arise because of instaila• <br /> ��' ��p J� tion and maintenance of the improvement hereto <br /> applied for and further agrees to remove same upon <br /> 3o'y____ _ _ I 30" I notice from the City and to repiace public properry <br /> �t. �� <br /> damaged thereby. <br /> Signature of Applicant <br /> -------- . ,-�.., , <br /> COPY OF THIS APPLICATION TO Address � � — <br /> BE POSTED ON JOBSITE � � <br /> Telephone Number <br /> CALL ENGINEERING DEPT. 25H�8611 - � � <br /> 24 HOURS BEFORE CONSTRUCTION� Dare � <br /> CHECK LIST Fee <br /> Wa�er Vaive Dept. Approvals <br /> Dr9inage <br /> Curb&Gu•rer Enginecrs <br /> Sidewa�k <br /> Water <br /> Street <br /> . Communications <br /> Inspector's Signature Traffic <br /> Planning _ <br /> —�ie — <br /> Remarks <br /> Approved hy <br /> Dalc Approved � <br />