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�- •� • A?PLICATION FOR RIGHT-OP-WAY USE PERMIT <br /> everen Y�_ I .1 -� G' <br /> L 0 <br /> �• <br /> CITY ENGINEERS <br /> EVERETT, WpSHINGTON PERPAIT NO. <br /> The Undersigned � � - � � � _ � - �-. �,;. ,-� ,. ` <br /> Hereby applies for permission to � � � - � � � . . ^;�,;:. � <br /> At the following location -; - � � 1 - ' <br /> SKETCH <br /> (Work to be done) , � K ��•!, /, .-/S � �'� <br /> .� <br /> / <br /> .l i.����`� <br /> � <br /> , { � � (�,_. _.. .. <br /> �?���;� " � \�` .' 1 i `_;. <br /> ����� . � � <br /> �,,;93 i ' _ _�_J ' <br /> r <br /> -- '^.�,� -�� � • I <br /> „ { �;, ! 1 <br /> ` �,, �1 . r—� .�.... <br /> _��,. <br /> n., . _ ,-! C <br /> 4 <br /> � . .. '. \�. . <br /> DR�VEWAY SECTION The undersigned owner hereby agrees [o hold and <br /> NO SCALE save harmless the City of Everett trom any and all <br /> � � � --� claims for damages that may arise becausa of installa- <br /> �_ �i^ ��p �7l tion and maintenance of the improvement hereto <br /> —� <br /> �30_'� _ ._�34 � notice�fromadtl City�and9to replace {,ublie proper�ty <br /> dainaged there6y. <br /> Signature of Applicant , <br /> COPY ('iF THIS APPLICATION TO Address <br /> BE ?OSTED ON JO�SITE. � <br /> Telephone Number <br /> CaLL ENGINEERING DEPT. 259-8871 � <br /> 24 HOUPS BEFORE CONSTRUCTIOPJ� Date � <br /> CHECK LIST Fee � <br /> tNater Vaive Dept. Approvals <br /> �rainaye <br /> Curb&Gutter En9ineers <br /> tiidewalk — <br /> — Water <br /> � � Stree[ <br /> � '�--� Communications <br /> Insp �to ' � �atura ����� <br /> Traffic <br /> � �,R J � _ / G � �' Planning <br /> J <br /> ate — <br /> Remarlcs <br /> _'_ .J. �_ � 1 . <br /> . . Approved by�;. . �� \ .�� . _ .. . <br /> ,; ;_.. <br /> INSP2CTOi2'S C�; , Date Approvcd � : t'` 3 <br />