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_ __._... .� . . � <br /> ------ - -- - _ _ � <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT ��_�Q 5 =', y r� 1 � <br /> r� st '�:,.- <br /> :N.. <br /> ,r: �:;.�<< - <br /> . �iq: , <br /> i � �;�,: <br /> � \� ��_ <br /> CI'iY [�1GINEERS .PERMIT NO., c� � � �� <br /> EVERETT,W 1SHINGTO� <br /> The Undersigned �"1 � �� � ��'`��` � �� �� ' -�� �//f � . <br /> Hereby aPP��es for permission to 7� �� �� � '� ��`�"'�J���""�� �/?`M�—� <br /> ����� <br /> At the following location � <br /> `�i 3 ��-�. /G�' l�✓�? S t- <br /> SKETCH • <br /> (bVork to be done) � <br /> �'�i' <br /> Li, <br /> �' <br /> �'!�lj I <br /> ,�� , <br /> ,, <br /> v`�" <br /> i� <br /> DRIVEWl+Y SECTION The undersi9ned owner hereby agrees to hald and <br /> NO SCALE save harmless the City of Everett from any and all <br /> � .�..! claims for damages that may arise because of installa- . <br /> � tion and maintenance of the improvement hereto <br /> +I" LIP applied for and further agrees to remove same upon <br /> � — 30" no[ice from the City and to replace public property <br /> �j�-'�`----1— damaged thereby. <br /> Si9nature af Applicant <br /> —----- Address <br /> COPY OF THIS F�PPLICATIOv TO <br /> BE POSTED ON J0251TE. Telephone Number <br /> CALL ENGINEERING DEPT. 259-SSi l pj1e <br /> , 24 HOUR:S BEFORE CONSTRUCTiO� . <br /> Fee <br /> CHECK L�ST <br /> Wace. va�ve Dept. Approvals <br /> Drainage En9ineer5 <br /> Curb P,�Gutter <br /> Sidewalk Water_._ <br /> Street <br /> Ccmmunications — <br /> Inspectcr's Si9nature Traffic_ <br /> Plannin9 <br /> I)a tc -----��-- -�-- . <br /> — � <br /> R��marks ' 9 � 3�� 5 <br /> 1. <br /> • Approved by � � <br /> _ � . <br /> C;;570H=:t Date Approved � � � � <br /> 1 <br />