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everetl APPLICRT!;3.".'-FpR RIGHT-OF-WqY USE PERMIT <br /> e so7oz <br /> CITY ENGINEERS � <br /> EVERETT, WASHINGTON ) <br /> PERMITNO. `�( <br /> The Undersigned - � . <br /> Hereby applies for permission �o_ <br /> rr . <br /> At the following location <br /> SKETCH — <br /> (Work to be done) — <br /> •', �-�_- �\ _ ,\� : .� <br /> I <br /> � + <br /> I <br /> � �UD �h�Ji�.rid'C�nn <br /> ?�� c�rd,n -r �+' <br /> )t c .> of <br /> � DRIVEWAY SECTION 'f`"���� � �/" -� <br /> NO SCALE The undersigned owner hereby agrces to hold and <br /> ''---- ----- . _� save harmless the City of Evere[t from any and all <br /> claims for damages that may arise because ot installa- <br /> {�" L�r tion an�l maintenance of the improvement here.o <br /> �301_. _ __ _ _�3�•� � apflicd loi and further agrees m remove same upon <br /> ' —�� notice from the City and to replace public property <br /> damaged Ihereby, <br /> . ir _r<— ._.. <br /> . . . Si. awre oi Applicant <br /> . I COPY 01- 11115 APP�ICATIOlJ lq � � , <br /> ' RF POSTGD ON JOf3517E. A dfes'�s `� -"` <br /> �, ;;AU_ [NGINE[RiNG D[P"C 254.9A11 � Telephone Number <br /> � 7�1 1'Our�- r � . . ! � . <br /> ..� BE� OHF COI�.:G I I{:�('.I IQfJ� . . <br /> � � . . Date�-----` <br /> CHECK LILT - � <br /> Watcr Valve Fee <br /> Drainage Dept. Approval5 <br /> Curb&Gutter <br /> Sidewalk � - � - Enginerrs, __ <br /> Water <br /> Street � � '�-- � <br /> _ �_ . <br /> Inspector's5ignature -- Cemmunications <br /> Traffic <br /> Planning <br /> —bate <br /> Remarks _ <br /> Note: Oriyinal to Customer <br /> � 1 Copy to Flle '1 �1 '��'!n <br /> 1 Copy to Inspector � <br /> APproved by <br /> Da(e Approved — <br />