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_ __�.�Y- -- <br /> everetl APPLICATION FOR RIGHT-OF•WAY USE PERMIT <br /> „ _ 12�95 <br /> -��f/3 <br /> CITY ENGINEERS <br /> EVERETT, WqSHII�GTON PEAMiTNO.� � <br /> The Undersigned ��.";^,< � ,� r�! �= i _ /_�.': r <�,- ; _^ , i _ . <br /> Hereby applies for permission to� i -"`i,. - – ,r; +, � _ > �� „� , � <br /> � At the following location ��/.''- % =: '- �-1 ., ��� � <br /> SKETCH � <br /> (Work to be done) . <br /> . ' i;"{' �� ', .� '. '%'' . ' <br /> I <br /> I <br /> �� ' DRIV WAY I <br /> , E SECTION The undersigned owner hereby ayrees to hold and , <br /> � NO SCALI4 save harmless the City of Everett from arry and all <br /> , � — —'� claims for damages that may arise because of installa� ' <br /> I" LIP tion and maintenance of the improvement hereto <br /> applied for and further agrees to remove same upor, <br /> �„30';,f�_______ _. _ I 30" I ne[ice from the City and to replace public property . <br /> --�1' '1 <br /> �. damanad (h,o.ahy. \ � �. <br /> 7Y <br /> , i9natu e c pp icant �. <br /> —_ _. _. _ ��ro S.�Jo/foua � �f i9�'c <br /> ' COPY OF THI i qPPLICATION l"O '� • Address � <br /> 6E POSTED ON JOBSITE. � 393- � �09 2$Z – (n/�f 7 <br /> Telephone Num6er <br /> � C;ALL E�VGINFERRJG DEPT. 259-8871 � O��O(c ' � � � <br /> � 2d HCURS G�i-0fi[: C�NSTRUCfIOfJ: Date � <br /> CHECK LIST —'"–��— <br /> Fee ��, �_ <br /> Wacer Vaive � Dept. Approvals <br /> Drainage � � <br /> Curb&Gutter Engineers ���i,_y.� �� <br /> Sidewalk Water <br /> Strcet <br /> Communications <br /> Inspector's Signature Traffic <br /> Planning �, <br /> ate <br /> Remarks — — <br /> Note: Original to Customer <br /> 7 Copy to File 1 �0 9 5 � - �� <br /> 1 Copy [o Inspector Approved by <br /> Da[e/lpproved <br /> i <br />