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.-�'^----�^'��-'„ <br /> cverett APPLICATION FOR RIGHT-OF-WAY US� NERI171T <br /> . . 11 :�58 <br /> �� <br /> CITY ENGINEERS <br /> EVERETT, WqSHINGTON PERMITNO. ~�� �I` � - <br /> The Undersigned <br /> Hereby auplies for permission to <br /> At the following location_ � . -- <br /> %�- _ � <br /> SKETCH — <br /> (Work to be done) <br /> . . . , ' ' .._ . ` - . <br /> . . . . � . � . � ' . . .�� � . <br /> IDRIVEWAY SECTION The undersigned owner hereby agrees to hold and <br /> . NO SCl+LE— -- save harmless the City of Everet[ from any and all <br /> �---- -� claims for damages that may arise because of installa- <br /> I" LIP tion and maintenance of the improvement hereto <br /> 30" I _. ��p�� � applied fcr ar•d `,uriher ayrees [o iemove same upon <br /> �- � —"f notice irom the Ciry and to replace public prouerty <br /> damaycd there6y. <br /> Signature of Applicant — <br />� COPY OF THIS APPLICATION TO <br /> Address <br /> BE POSTED ON JOBSITE. <br /> � � ielephoneNum6er I <br /> I CALL ENGIiJEERING DEPT. 259-8811 <br /> 24 HOURS 6EPORE CONSTRUCTIOfJI Dete I <br /> � CHECK UST _ � Fee � I <br /> 1'Jamr `:alve I <br /> Drainage Dept. Approvals <br /> Curb&Gutter En9ineers �I <br /> Sidewalk . � <br /> Water I <br /> Sveet ! <br /> Inspector's igna re Communications _ . I <br /> Traffic <br /> �`� Planning — '� <br /> '�e- ------ '� ___--�_ <br /> G � <br /> i <br /> Remarks � <br /> �� <br /> 11 � 5 � - � <br /> Approved oy _ � .� I <br /> �� � ;','1.1?� � <br /> C�. <br /> I'r15?�CTOR'S COPY Da[e Approved . 3 <br /> . , � <br /> —� <br />