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11 <br /> � � <br /> , . .._ .� . . . � . . 'I <br /> APPLICATION FOR RIGHT•OF-WAY USE PERMIT <br /> CVe.CfS <br /> � ; 11018 <br /> � '� <br /> CITY [NGINEERS . „ , <br /> EVERETT, WASHINGTON P:RMITNO. % ` i���� <br /> The Undcrsigned ff%c{��� ��i�(f c r ^ <br /> . <br /> Hereby applies for pertnission to •I�-:��°� �r �7 .l�;�. �^��._.---� � <br /> At[he following loca[ion ��O (, �/ y� l7,L� 1Ov <br /> SKETCH . <br /> (Work to be done) . <br /> S'r,� �}7rricN�o <br /> � <br /> � <br /> � <br /> � <br /> � JRIVEWAY SECYION 'ihe undersigned ownen c�reb�r agrees to hold and <br /> . NO SCALE save harmlr.s the Ci;y of Everett (rom ;r�y a�id ali <br /> f� '� claims for damages that may arise bec;�,se cf installz- <br /> +i" up � tion and maintenance of the improvemen[harero <br /> �30" � I gp� � applied for and further agrees to remove same upon <br /> -'-- —`t"---`7 notice from the City and to repiace public property <br /> dam i� there6v. <br /> Sir,n�tur � fFl�:a <br /> COPY OF THIS APPLICATION TO Add er ss —'— <br /> BEPOSTEDONJOBSITE. �U�1 +1- E'.)n.E L+� • EOMCNJS �I7SL�y� <br /> CALL ENGINEERING DEPT. 259 8811 TelepY.one Naic;ber <br /> �f���- <br /> 24 HOURS BEFORE CONSTRUC?IOh Date i' � <br /> � -� �-� <br /> CHECK LIST � • Fee o�j•.�- <br /> wator Valve Qept. Apprp als <br /> Draina9e <br /> Curb&Gutier, . ' [ngineers �+ �%� ' �� >-' <br /> Siclewalk • —� <br /> � Wa:er_ <br /> Street <br /> Communicat+ons_ <br /> Inspector's Signature � 7raffic_ <br /> Planning <br /> � are <br /> �Ramarks , <br /> Note: Original to Customer --.--.— <br /> 1 Copy to File 11018 � <br /> 1 Copy to laspector Approved by <br /> `' _..'„_",�_----.�._...--_-_' —" <br /> -:'-- ---` <br />