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, <br /> � everett APPLICATION FOR RIGHT•OF-WAY USF. PFFlMIT <br /> . _ e , i �22� <br /> � <br /> ' CITY ENGINEERS � � � ��/�7/?� f,Z <br /> EVERETi,{VqSHINGTON V � PERMITNO. <br /> ;'�5 .��,� - <br /> The Undersigned___ � <br /> Hereby aUVlics(or permission to � - ..1 ' _._ � <br /> At the following location_ 7 7 �' q 7` r r �Y<<. �;' <br /> / <br /> SKETCH - <br /> (Work to be done) <br /> , � <br /> r <br /> - . _. _ _ .....__.—___'__._._..r_._, <br /> ' � <br /> I � � � <br /> � <br /> � <br /> � ' <br /> � <br /> � <br /> ' - - - �1 i <br /> { ,:; <br /> II <br /> ' + Y <br /> I`.j "� <br /> I P� ; <br /> j � q� �` . � <br /> '�[QO"a I E <br /> i r��.,� <br /> _--- _._. _ _.�� _� - _ __ � ' �p <br /> . '_.�J� ,- �,e-�y.. I f <br /> -- � 1 <br /> DRIVEV.aY SECTION � The undersigned owner hereby egrees to hoid and <br /> NO SC4LE sa�•e harmless the City of Everett from any and all <br /> � � i daims for damages that may arise because o( .nst,ll.+- <br /> j i" Lia � ; ;iun and maintenance of the imprair.ment here;o <br /> �q0' —(—�� � 3�.� � . applied fn� and further a9rees to remove same upvn <br /> �� � - � - i--� �wtice hom the City and to replacc public propc�ry <br /> � damngel th.ercLy. � <br /> ' Sign�•��r i,f • lic -- <br /> �pp ant <br /> � ' � - 7i -;a ;�c <br /> CUPY OF iHIS P"PL�^P.TION T^ Addrrss � � <br /> BE PU3TED ON JUUSI TE. � - � �.- ; <br /> Tclephoneltrr,oer --"' <br /> CALL ENGIN_ERING DE�•T. "t59�8811 ., „ ,- <br /> "4 HOUfi" �EFOR6 CONSTRUCTION Date � -- <br /> CHECK LIST � Fce — — <br /> Water Valve <br /> Drainage �1ept. ApproVals <br /> Curb&G�tter <br /> Sidewalk � � Engineers <br /> - Water <br /> � � � � ,�- � �_ Sveet <br /> Inspecter's Si iature <br /> - - '� � Communications <br /> Tratfic <br /> 7� / , / Planning <br /> at�—�•��,�./��(.�..�i � -- <br /> / / / <br /> ; <br /> Remarks � ----- <br /> 1_ 1227 � <br /> , Approved by <br /> � WS�''riOR'SCOFr DatcApproved H <br />