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. everen APPUCATIONFORRIGHT•OF-WAYUSEPERMIT 1;�ZO4 <br /> ^ � r <br /> •7 1 . <br /> v <br /> CITY ENGINEERS <br /> EVERETT,WASHINGTON PERM11 N0. � ` ' � ^ <br /> The Undersigned <br /> Hereby applies for permission to <br /> At the following location � �- � � <br /> SKETCH <br /> (Work to be done) <br /> '., ��C L1C'.t ���i._ i:�_ . I <br /> � llEi,U/�.l.l� �C �iZ3 �_; <br /> %=�S< <t.?C_� L<)T' <br /> rtr_.- <br /> \ <br /> � <br /> . <br /> 1 <br /> N <br /> w <br /> �� <br /> \ <br /> .,s�3 \ . <br /> - ., <br /> DRIVEWAY SECTION �The undersigned owner!�^reby agrees to hold and <br /> , NO SCA�E save harmless the City of Everett from any and all <br /> r----- � claims for damages tha[may arise because of instella- <br /> I" LIP tion and maintenance of [he imprnvrmen[hereto <br /> 30" - applied for and further a9rees to�emove same upon <br /> __ 30" notice from the City and to replace public property <br /> . damaged thereby. <br /> . � � .: ,. ., . �� <br /> � Signature ot Applicant . . .. . � <br /> COPY OF THIS APPLICATION TO � Address � <br /> BE POSTED ON JOBSITE. � � � <br /> ICALL ENGINEERING DEPT. 259�8811 Telephone Number <br /> 24 HOURS BEFORE CONSTRUCTION Date <br /> CHECK LIST Fee —� <br /> Wacer val�e Dept. Approvals <br /> Drainege <br /> Curb&Gutter Engineers <br /> Sidewalk <br /> Water <br /> Street <br /> �nmmunications <br /> Inspector's Signature Traffic <br /> Planning <br /> ate <br /> Remarks <br /> 11204 <br /> APProved by. .- ��, - '; <br /> ' '�` FILE COPY Date ApprovCd . � . ' � <br />