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APPLICATION FOR RIIiHT•OF-WAY USE PERM1IIT '� <br /> �cveretl � .�. � 3 3 <br /> � e <br /> �ITY ENGWEERS <br /> EVERETT,WASHINGTON PERMIT N0. <br /> TheUnder:igned �I�TIL� ' L��_._�� 1��J�. <br /> Hereby appties for permission to -IT/�Yr C- laC��GaV-�r-n�� � _ <br /> At thc following Ixation <br /> SKETCN <br /> (N'ork to lx done) <br /> ! <br /> / <br /> DRIVEWAY SECTION The undersigned owner hereby agrees to hold and , <br /> NO SCALE save harmless the City of Everett from any and all <br /> �' — ""i claims for damages that may arise because oi installa• <br /> �.�I" LIP _� tior and maintenance of the improvement hereto . <br /> �3o'y__ � ___. _�30" I applied for and further agrer.s to remove same upon . <br /> �� notice from the City nd replace public properry <br /> domape� ere <br /> � <br /> Signa[ure f pplica � <br /> . -- . � `c.. L:� � �� � i <br /> '�'�I'Y CF 1MSnPPLICATION TG i Address ' <br /> � F![ FOSTED ON!OOSITE. I SZ���-�jl`l� <br /> � ' Telephone Number ' <br /> ��.,�LLFNGINEERINGDEPT. 259-8fitt � Y� ' Z3-n i <br /> ��, 24 I��OUHS dEFORE CONSTRUCTIO�d I Date <br /> - - -- ----- ---- - -- � <br /> � CHECK UST Fee <br /> Watar Valve <br /> _ Drainage Dept. Approvals <br /> Curb& Gutter Engineers . <br /> Sidewalk <br /> Water <br /> Street_ <br /> Communications <br /> Inspector's Signature Traitic � <br /> Planning_ <br /> Date — <br /> Remarks . , . . — <br /> Approved by <br /> � � �� Date ApProved � <br /> -ti. <br />