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APPLICATION FOR RIGHT•OF-WAY USE PERMIT ,, <br /> everett - � �-� �G <br /> � <br /> CI7Y ENGINEERS PERMIT NO. - --� � <br /> EVERETT,WASHINGTON <br /> The Undersigned - � ' <br /> Hereby applies for pertnission to - . <br /> � �� � .:7 A � ;= .. � ' _ <br /> At the following location <br /> _ _ r � � <br /> SKETCH <br /> (Work to be done) <br /> i <br /> I <br /> i <br /> � I C af 7 r, rf-%,' y"-?„%� <br /> � <br /> I� � <br /> �r_- v� ,s'; <br /> � --- <br /> � <br /> li <br /> � <br /> ', ,I <br /> ''� � � <br /> ` n„r�� x <br /> � , <br /> � _ <br /> i �— � <br /> � 2d ZD ! <br /> �� o..c p..c I , <br /> � . I P�:ec /�Fu�A �`���" Drlrr l <br /> r• ' <br /> I <br /> _I <br /> � ..1��' � � . _. . <br /> � _.�. �.�. .. <br /> -- ��� <br /> ._--� - _.__ . _'---�..__�, <br /> - �.- -,; -- _ "�� '� <br /> DRIVEWAY SECTION The undersigned owner hereby agrees to hold and <br /> NO SCaIE save harmless the City of Everett from any and all <br /> - _ _ ___ _-�ll claims for damages that may arise because of installa- <br /> � E= l tion and maintenance ot the irrvrovement hereto <br /> �I" LIP applied for and further agrees to remove same upon <br /> 30„�. � _ I 30" I notice from the City and to replace public property <br /> �' - "� -� � yf� ' damaged thereby., '} . <br /> � ,. <br /> "�'�.G�....,-� �: i -. <br /> SigBamie of Applican � �T— <br /> � -�i-.i� 'j= / ' �� �] _J-.. <br /> - .. --- - � ----- Address �K','� Y;a.+.t <br /> COPY OF THIS APPLICAI ION TO �-: -'• ---� C.�7/�(�` 9qr� q; <br /> BE POSTED ON JOBSITE. Telepho�ne Numb�r <br /> :i;_ // i�� ''9 <br /> CALL ENGINEERING DEPT. 259-9811 — <br /> Date <br /> 24 HOURS BEFORE CONSTRUCTIONI <br /> L__ __ _ . __ . .__—. _—_ __— _ — . <br /> CHECK LIST Fee <br /> Water Valve Dept. Approval5 <br /> Drainage Engineers_ <br /> Curb&Guiter <br /> Sidewalk � Wa�er <br /> Street <br /> � � Ccmmunications <br /> 1 peci- sSignature Tratfic_ <br /> Planning <br /> �- tl I � <br /> �t'e <br /> Remarl:s <br /> � 9 � <br /> :l :� �. i <br /> ; <br /> Approved by �i���:',: iy • ��.�� --�- ,��:, 1.. <br /> - _, g <br /> Date Approved � - � � <br />