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.�_ ..�_� �... . — - <br /> " ` everett <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT 1�. 2(t7 <br /> . �� <br /> CITY ENGINE'cRS <br /> EVERETT, WASHINGTON PERMITNO. 7� —/ (�� <br /> t <br /> The Undersigned�J1V! Q C � �—}-/�N.��i.F <br /> Hereby applies for permission to GO,v� 'nC n 2� ��-" p�p�-{�V � 1-7,c(] _ <br /> At tbe following loca[ioq._ S�OD /� .Z 3 R D U F lF� <br /> SKETCH <br /> (Work to be done) � <br /> ORivEWAY 5ECTION 'fhe undersigned owner hereby agreos to hold and <br /> NO SCAI.E save harmless the City of Everett from any.ind all <br /> � —�"I claims for dama9es that may arise because of�nstall8• <br /> �_ ��^ ��p tion and main[enance of the impiovement hereto <br /> applied for and further ag�ees to remove same upon <br /> 30"L ,�„30��,� noti�,from [he Ciry and to rRRRppP���c public property <br /> dart��yedt�erebf� � '�[� /ti�� <br /> / �--,GI�V•cc�( /t <br /> i <br /> ' Sig�ature of Applicant ' <br /> � a�� ;s3 P�. N �-. M,a��s. <br /> COPY OF THIS AP?LICATION TO Address <br /> BE POSTED ON JOBSITE. �o�g"S'�u �� 98a� � <br /> Telephone Number <br /> CALI EyGi��EERING�EP7.T5&8311 <br /> 24 HOURS BEFORE CONSTRUCTION Date <br /> CHECK LIST Fee <br /> Water Valve f�ept. Approvals <br /> �rainage <br /> Curb& Gutter � Engineers <br /> Sidewalk <br /> Water <br /> Street <br /> Communicatiora <br /> lnspector's Signature � <br /> Traffic <br /> Planning <br /> at-6 e— — <br /> Remarks 112 4 7 _ <br /> �/ � Approved by <br /> t• <br /> � CU8'tGh7SR Date Approved � 9 <br /> . . . . <br /> ("r_.._ _ _'.... _ . <br />