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everett <br /> APPLICATION FOR RIGHT-OF•WAY USE P�RMIT � � j � 6 ��� r ' � <br /> � � <br /> CITY ENGIlJEERS <br /> EVERETT,WASHINGTON PERMIT N0. <br /> The Undersigned � � <br /> Hereby applies for permission to " . <br /> At the following location � � - � . <br /> SKETCH <br /> (Work to be done) <br /> . �1 . � � i , . .� (_ /� � .� <br /> . _' .-i . i I�• ._:t ��! l-J1 r:_ti! �L._.��,) (i.�. /� u.J� j ��� /i �__. l�-... <br /> 1 <br /> � . /f <br /> � !?,U �� � , - : ; - <br /> DRIVEWAY SECTION The undersigned owner hereby a9rees to hold and <br /> {� NO SCALE save harmless the City of Everet[from any and ail <br /> I � -� claims for damages that may arise because of installa- <br /> �Y' up � tion and maintenance of the improvement hereto <br /> �3o';,J,,.__ 30" I applied for and further agrees ro remove same upon � <br /> --- � -- -� "-- --�- �- - -----�—�"1 notice from the City and to replaCe public property ' <br /> dama9ed thereby. <br /> Signature ot Applicant <br /> COPY OF THIS APPLICATION TO Address <br /> BE POSTED ON JOBSITE � � <br /> CqLL ENGINEERING DEPT. 259�8871 Teiephone Number <br /> 24 H�URS EEFORE CONSTRUCTION Date <br /> ' CHECK UST Fee <br /> Water Valve <br /> • Drainage Dept. Approvals <br /> Curb&Gutter Engineers <br /> Sidewalk <br /> Warer <br /> Street <br /> Communications <br /> Inspector's Signature Traffic <br /> Planning <br /> a—�te <br /> Remarks <br /> I <br /> - . t- <br /> ApProved 6y <br /> Datc Approved O <br />