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• . API'LICATION FOR RIGHT-OF-WAY USE PERMIT <br /> . evcri•tl . , , <br /> .' � . . ._ _ ,. .. <br /> CITY ENGINEERS <br /> EVERETT, WASHINGTON PERMIT NO. <br /> The Undersigned_ <br /> Hereby applies for permission to � • � � - ,� � C '�� ; - ��i; . r <br /> .__-.-. " ..- , _ — <br /> At the tollowing location . .^:-- . .. -...". .. .. '.,�r � ' �,% : : � � .: , . . . <br /> SKETCH <br /> (Work to bc dnne� <br /> 7 � <br /> F- t <br /> ,i a <br /> J� _ I/� �/: I , <br /> ��aA6� <br /> / _. <br /> � 0 <br /> DRIVEWAY SECTION Thu undcrslgned ownen c�iehy �grces ta hold and <br /> NO SCA�E ;ave harmle55lhe Ciry of Eveiett from any and all <br /> � � - - �- - 'I daims (or damagr,that may arise because of installa� <br /> �I" LIP _� tion and maintenance of the improvement hereto <br /> applied tor and further a9rees to remove same iq�on <br /> �,30'+_. __ __ _ I 30'� notice from the City and to replace public Property <br /> -•Y• <br /> damaged thcreby. <br /> Signature of Applicant <br /> COPY OF THIS APPLICATION TO Address <br /> BE POSTED ON JOBSITE. <br /> Telephonc Number <br /> CALL f iJGIkE[RING DEPL ^w9�8811 � .. <br /> 24 HOUHS 6EFORE CONSTRUCTIONI Date � <br /> CHECK LIST Fee - - �- -- -- -� —-- <br /> Water valve Dept. Approvals <br /> Drainage <br /> Curb&Gutter Fnpinnnrc_____ <br /> Sidewalk � � <br /> VJater <br /> % Street <br /> � , � <br /> �t,�;4_ Communications <br /> Insp t ' Signature Traffic <br /> Planning <br /> / O C7C_� i��-��- <br /> �« - - _ <br /> Remarks — <br /> r, <br /> �y� �� �.� <br /> ApProved by <br /> Date Appioved ---.--.� .- _ .�— a <br />