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_�---------... -- - <br /> ' APPLICATION FOR RIGHT-OF-WAY USE PERMIT � � ��$ 9 <br /> �yerett <br /> � ^ <br /> n.; <br /> � J� �TT�.,� � ��2�'Y ��`C'��� � �— <br /> CITY ENGINEERS / ,.) <br /> EVERETT,WASHINGTON PERMITNO. 7� �� � v <br /> The Undersigned��0 T �F�� r'l-rY 1 t�l./ �F�! � <br /> Hereby applies for permission to P.��J SrR JC T� �d Z+)� Cn ni�/?=ff� .���ti <br /> At the following location �✓/ Z '7 i=v[ :'A �✓ <br /> SKE7CH � , <br /> �Work to be done) � <br /> 1 <br /> � � <br /> ► � <br /> p u/Fi vn c <br /> s iz e <br /> , z�"i�"".�. <br /> � � y,� � �, <br /> i � z , <br /> � ' _ <br /> .. �� <br /> � rit' - <br /> b Q�`� , ,����� <br /> ,e�2 ry L,v� ' <br /> V . ,�o ) y. <br /> �+ c���/ i� T �► <br /> ��l 5�>1 �' �;�; a�i <br /> t � � <br /> � <br /> .� z _�� . �__r____ <br /> DRIVEWAY SEC7�ON The undersigned owner hereby agrees to hold and <br /> NO SCALE save harmless the City of Evere[t from any an�all <br /> � '-`i claims for damages that may arise because of i�stalla• <br /> t" LiP tion and maintenance of the improvement hereto <br /> �o�— -- 30, applied for and further aprees to remove same upon <br /> notice from the City and to replace public property <br /> dam ther�/y. � _ <br /> ` �r.•i�-�-�—�.��_t <br /> Sig ature oE; ppl c nt p <br /> ��.U/Sf—�r��:a �til�/. <br /> �COPY OF THIS APPUCATION TO Address <br /> I BE POSTEC OV J035ITE. �.; �/— �����' � O <br /> Telephone Number � <br /> CALL ENGINEERIPIG DEPT. 259-8811 t/— � Si — j <br /> 24 HCURS BEFORE CONSTRUCTION� Date <br /> CHECK LIST Fee'��°._' <br /> Water Valve Dept. Approvals <br /> Drainaqe <br /> Curb&Gutter Engineers <br /> Sidewalk Water ' <br /> Street <br /> Cammunica[ions <br /> Inspector's Signature Traffic ' <br /> Planning <br /> ate <br /> Remarks ��� � � <br /> Approved by <br /> i:USTOMS1e Da[e A ^ <br /> pproved <br />