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• everett <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT 112 3 6 <br /> � � e <br /> CITY ENGINEERS <br /> EVERETT,WASHINGTON PERMITNO. %� � "� 'i�I <br /> The Undersigned ��� � � � <br /> Herebyappliesforpermissionto_ � - " � i'�. •a: c�.=J�— !1 �'�;!;.r ;,1�1 �t <br /> At the following location �� - �- ��--� � / � �r'�' — '' �� � � <br /> SKETCH I <br /> (Work to bA done) <br /> i <br /> I , <br /> �. — .--- .- - - - — — --� Z cAK � <br /> i G.n.r,yG�— ' <br /> � � <br /> i <br /> I <br /> �; U� _ i <br /> i•` �- <br /> . �ry (;'�' 1 3 <br /> ' I ' <br /> I � <br /> � <br /> � <br /> � <br /> 1-- � S � ` <br /> DRIVEWAY SECTION The undersigned owner hereby agrees to hold and <br /> NO SCALE save harmless tlie City of Everett twm any and all <br /> � ---� �- � claims for damages that may arise because of installa• <br /> y i" L�., —�1 tion and maintenance of the improvement heretc <br /> ---�--�i applied for and further agrees to ren-.ove same upon <br /> •-�'�30'�„_ ___ _�30" notice from the City and to replace public property <br /> damaged thereby. <br /> Signamre ot Applicsnt .i � <br /> —� - �� �� r,, l^� , i ; : <br /> iCOPY GF THIS APPLICATION TO I Address � <br /> E3f_ POSTED UN JOBSITE � � � <br /> (:AIL ENGINEERING DEPT. 2553817 i Telephone Nwnber <br /> „ <br /> .74 HOURS 6EFORE CONSTRULi� Date — <br /> CHECK LIST �Fe= <br /> Water Valve Dept. ApprOvals <br /> Drainagc <br /> Curb&Gutter Engineers <br /> Sidewalk <br /> Water_ <br /> Svect <br /> �/ L ��e.�.u— Communications <br /> Ins� t '$ignature Traffic <br /> ' Pl;nning_ <br /> 1U �! In7 ` _ <br /> �are <br /> Remarks — <br /> 11236 - - <br /> Approved by � .. . <br /> Date Approved � � � <br /> \ ' If�SPECiOR'S COPY . � � <br /> .: <br />