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APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> everetl . . . - <br /> �� e <br /> CITY ENGINEERS <br /> EVERETT, WASHINGTON PERMIT N0. <br /> The Undersigned <br /> Hereby applies for permission to <br /> At the foilowing location <br /> SKE CH <br /> (Wo [o be done) <br /> I <br /> !I w�t��nc <br /> s�xE I <br /> :t fs'ii ., <br /> x <br /> yz ' <br /> C— z,s—'7 '� - �o l,",'` <br /> �_� �i S u� �°�° <br /> ,L. <br /> 1 • <br /> � <br /> � c,u Q N / �` <br /> GAq,'+Go � ° <br /> �i L � ����` i�l•�' �{ <br /> I �- �/ � l <br /> �`7 p� <br /> � <br /> � 'o i �� <br /> h <br /> I � __ _ _ <br /> --��—`=��� __ <br /> i <br /> �� DRIVEwAY SECTION _ _,___ _ .__'[1tCSindersigned owner hera6y a9rees to hold and <br /> NO SCa�E -� save harmless the City of Everett from any and all <br /> f'— --"� claims fordamages that may arise because of installa� <br /> +I'� LIP —�� tion and maintenance of the improvement hereto <br /> applied for and further agrees to remove same upon <br /> 30" _____+30"� notice from the Cit� and to replace public property <br /> damaged thereby. <br /> Signaturc of Applican[ <br /> COPY UF THIS APPLIC.4TION TO � Address � <br /> BE POST[D ON JOBSITE. � <br /> Telephone Number <br /> CALL ENGINEERING DEPT. 259-8811 <br /> 24 HOURS BEFORE CONSTRUCTION Date <br /> CHECK LIST Fee <br /> Water Valve Dept. Approvals <br /> Draina�e <br /> Curb&Gutter Engineers _ <br /> Sidewalk Water <br /> Street <br /> Communications <br /> Inspector's Signature Traffic <br /> Planning <br /> ate <br /> Remarks <br /> ��, <br /> Approved by <br /> , Ua[e Approved 3 <br />