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APFLICATION FOF RIGHT-OF-WAY USE PERMIT <br /> everett <br /> ' � . <br /> CITY ENGINEERS � <br /> EVEREl'T,WASHINGTON PERMIT N0. <br /> lhe UndersigneJ_ _ <br /> Herebv applies for permission to <br /> At the foliowing location � � � � — <br /> Sr� 1:1�'.7- =��' <br /> SKETCH "(;,��-�7_ <br /> (Nlork to bc done) <br /> $G <br /> — �-- -- � — ---- <br /> I <br /> -`1t + ;C����• �) <br /> ti � <br /> . <br /> ._._ . .._.._ _ �r.�c! <br /> �,,, <br /> DRIVEwAY SEC7i0n Thu unduisiqned ownei hciehy aymr.s t�holJ ,nd <br /> NO °C4LE save h�imless the City of Everett from any .nd all <br /> r- - -- ----- - - -� claims for damages that may arise because of insudia� <br /> � `i" L P —�1 tion and maintenance of tha imUrovement heretn <br /> ,, applied (or and further agrees to removc same urn��� <br /> L30'y_ . �. _ . .,.f.30�� notice irom the City and to replace public prope�ty <br /> � � � � damaged thereby. <br /> Si9nature of Applicant <br /> � OU�,y ��`r lPi'S �1�.:'l �ri��i�� �� 1f, Address <br /> �, E3E POS�[D OtJ lu(iSll IL �, Telephone Number <br /> CALL [NGINEERING DFP7. 259-8811 I, � <br /> 24 HOURS BEFORE CO�'STRUC�ION i Date <br /> CHECK LIST Fce <br /> Water Valve Dept. Approvals <br /> Drainage <br /> Curb&Gutter 6igineers_ <br /> Sidewalk Watcr _ <br /> -� Street <br /> � ��_���� Cemmunications <br /> In�pi�ctor's Signature Trafiic_ _ <br /> ��� _ 7 � Planning - <br /> b5tc <br /> __C.�.— <br /> Hemaiks <br /> � <br /> Np(.�oved hy <br /> ------ --- <br /> R� , ��orrl � <br /> _..—�A <br />