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everett APPLICATfON FOR RIGHT-OF-WAY USE PEIiMIT <br /> . <br /> � "�. � 335 <br /> CITY ENGINEERS <br /> EVERETT, WqSHINGTON PERMtI'W0. ���'��� � <br /> The Undersigred_ '-�i ,-� !�, , , �, 'f �. <br /> Hereby applies for permission to � �'= �% , <br /> ,/ <br /> At the following location � 4 �� �' '� ��� ;;; — <br /> SKETCH _ <br /> (Work to be donel !-��.._ � : . . , '. �, . ' ;�l ,' Il; :;�,. <br /> � <br /> `' /�' pJlt+i.�t ��� -=,_C.C,� <br /> ' ' I GL_J,L+ ✓� `(`� � <br /> � '. (G ��'if I"f rs, i '-1; �.,L.I l'�(. � ,..( / .. <br /> J � �-' �� -}- + <br /> � <br /> L` :-1 t1Xr � c3.�� wv C-f�l C GI f d;��� f� '�E. cL�t�.tLr` !_t,ti2(I��.�'c'(\ i <br /> --� _".,.� <br /> . , <br /> � "7��R,� la•_,�-��e��,���, �� � I��� '� � � � � � �� _ <br /> � <br /> � , �, � � „ ��;��� ,, �..., . . <br /> DRIVEWAY SECTION The undersigned owner hereby ag�ces to hold and <br /> NO SCALE save harmless the City of Everett from any and all <br /> � �� claims for damages that may arise because ot installa� <br /> �I" LIP tion and maintenance of the improvement h2re[o <br /> i <br /> � ;p�� _ i �p11 applied for and further agrees to remove same upon <br /> �` ' --`t'=-�� natice from the City and to replace public property <br /> damaged thereby. <br /> i. <br /> Signature of Applicant <br /> : ': - -�. �. "�� � !i'�� . - <br /> COPY OF THIS APPLICATION TO Address� �� <br /> BE POSTED ON JOBSITE � -- ' <br /> CALL ENGINEERING DEPT. 259�8611 Telephcne Number� � <br /> . ._. <br /> 24 HOURS E3EFORE CONSTRUCTION Date - , — <br /> CHECK LIST �. Fee <br /> � Water Valve <br /> Drainagr Dept. AppfoVals <br /> . Curb&Gutter Engineers � <br /> Sideaialk <br /> � Water_ <br /> Street_ <br /> Inspecto ignature <br /> CCmmunicaIi0n5 <br /> Traffic <br /> �i o � ��e��+ �� Planning — <br /> �te <br /> Remarks <br /> 113 :� � �� <br /> Approvr.d by . ' .. , - <br /> �N�F5C1"Oii-5 CGPY' Date Approved � 9 <br />