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�__.__ . <br /> APPLICATION FOR RlGHT-OF-WAY USE PERMIT <br /> everett <br /> ,� <br /> CITY ENGINEERS ��- � <br /> EVERETT, WASHINGTON PERMIT N0. �'-. .'�/ .% <br /> TheUndersigned � '� - - �� �-'�" f(.?,���A�! <br /> Hereby aPPlies for permission to �� - 1� �r-�.-_tit r .-. +_ '%i`',� = r�ii�7-� 7 � � �-� �. .! '�:-;_- <br /> -T'-. ; i.-. :r.;,,j r� <br /> , . ,,� T! _ _ -_ / <br /> At the following location '� �� -=-�%�� =- ` �% - '��•7 - '� �� <br /> �.. - �.� ... <br /> - _. __ac __ . . _. _..._ _. . � <br /> SKETCH <br /> (Work to be done) ,--� � f? �':_ <br /> � j � - ---^ -. _- i <br /> � � <br /> �I <br /> r�' <br /> , , <br /> ! �/; <br /> � i— i'i <br /> � <br /> i -Sur3a.�-c"_ �� � �;: <br /> � , F_K,s,-,N�, own.lEP,5r1i�=t7,� � ; <br /> Z o D� vr—�u/,a.w� , d�,� i:: , <br /> i' oF PduEk; � ,�F�,9 nr/�Iv�= i' f;::, <br /> �, z, U, <br /> I zo� �� <br /> -CL.f}SJ � /� C�/,�,c� -r ��..r�rl� C <br /> �-,;��-� _ ;,� , , ` , <br /> �RIVEWAY SECnON The undersigned owner hereby agrees to hold and <br /> NO SCA�E save harmless the City of Everett from any and all <br /> � claim�;for damages that may arise because of installa- <br /> �---- —-� <br /> I" LIP tion and maintenance of the improvement hereto <br /> applied for and further agrees to remove same upon <br /> ISo�__ __________ 30' notice from the City and to replace pu6lic property <br /> � — i -- — <br /> damaged thereby. �� <br /> Signature ef Applicant �- <br /> COPY Of- "(FIIS A"PIJC.A1 IUF! -i-G ��, Address � � � <br /> � i <br /> �F POSTLD ON JOBSITE. �" - - '�'�" <br /> Telephone Number <br /> CALL ENGINEERIPIG DEPT. 259�SH11 _ ; ?—��? l�� <br /> 241-IOURSCi[FORECONSTRUCTIOfJI Date � - � '- <br /> - - � - ---- - --- ' <br /> CHECK LIST Fee <br /> Water vaive Dept. Approvals <br /> Drainage <br /> Curb &Gutter Engineers <br /> Sidewalk Water_ � <br /> Street <br /> Communica[ions � <br /> Inspector's Siqnawre Traffic <br /> Planning <br /> ate <br /> Remarks <br /> Approved by , <br /> � ' <br /> ) �),�'�,v o%'Il �..r,i <br /> Date Approved � - � `� <br /> '� . . . :�„�:". <br /> i <br />