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APPLICATION FOR RIGHT-OF-WAY USE 1'ERMI1' <br />Y'vl'tCN. <br />r • <br />`Li r <br />CITY rNGINEERS <br />LVCnhTT, W/,SHINGION V! UMIT NO._ <br />1heUndersignel- <br />Herebyappliesfor permission toi_r.'.I.'/`•:/'r :�Z—_-2r Ji-}.,S•(.'LJA1c:rr�1LT. <br />At the following location __Zf_(_ 1 <br />SKETCH t —_-- - — <br />(Work to be done) <br />( <br />DRIVEWAY SECTION <br />NO SCALE <br />COPY Or T HIS APPLICATION TO <br />BE POSTED ON JOISSIT•T:. <br />CALL ENGINEERI14G DEPT. 2Gg 8811 <br />24 H0MIS PHORE CONSTRUCTION <br />L_ - - - - <br />CHECK LIST <br />WalOr t181VP. _ <br />DrnIt <br />Curb !@ Gutlet <br />"Id1"A dk <br />Insprtilor's Signature <br />bile <br />lll•n�aA.s <br />Not-... Q ., 11.0 to {1q'.I�rynl•I <br />1 Coi'1 1,- In{,maul <br />1 <br />The undersigned owner hereby agrees to hoiV and <br />save harmless the City of Everett from any and all <br />claims for damages that may arise because of installa- <br />tion end maintenance or the Improvement hereto <br />applied :or and furtlmr ogrces to remove same upon <br />notice from the City and to replace public ptuperty <br />dpqqSlf thoreby, f n <br />JdJV/V <br />Telephone Number <br />Uatr� � <br />5v <br />1'ee <br />Dept. Approvals <br />--- <br />Cumltlnljira1i0115,_---__--.. —_._- <br />Tutifit.---- —-.—.�.----- <br />A, I I., <br />