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- APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> rverCtl 1 0 2 6 5 <br /> CITV ENGINEERS � <br /> EVERETT, WASHINGTON��-� _ PERMITNO. �� /4D �..,. <br /> The Undersigped__�j�7 P /' � � � ����G�� / L-! /� / / ,. <br /> uJ �DFN �x��Ti�vl w C, � <br /> Hereby applies for permission m .�� � ! �or Z ' <br /> � <br /> At the following location 7�7 �L��/e S r. � <br /> [nT � � <br /> SKETCH :ys ' <br /> (Work to be done) P` �I <br /> ( I <br /> i <br /> � z5 �, <br /> � � <br /> � <br /> �+ i �a r `5 <br /> r <br /> �) <br /> f'� <br /> � I i <br /> 'UFU/ � i � 417 <br /> IUI�ENE-D 1�/W <br /> � <br /> � <br /> er�s� uc ei� <br /> �r —) <br /> � <br /> � io <br /> � <br /> ' I i <br /> , <br /> . � DRIVEWAY SECTION I The undersigned owner hereby agrees to hold and I, <br /> ��. NO SCA E �. save harmless the City of Everett from any and ail <br /> ' � �'l�L -� �''�, claims for damages that may arise because of installa� I <br /> �� f' LIP '; tion and maintenance of the improoement hereto �' <br /> � � P applied for and furffier agrees to remove same upon <br /> ' ���� ---Z�—�.� � � noti �m the City and to qplace public property <br /> �� � d � reby � I <br /> �. � ature af pplican �. <br /> �� COPY OF THIS APPLICATION TO ��? �� F' Ad�� L�� g��O � �I <br /> � BE POSTED ON JOBSITE. ��I �-+ � ir+ . <br /> Te�ephone umber � <br /> . , CAL� FNGIPIEERING DEPL 259-8811 , ,� ,5 `'^f' _ � � �� <br /> �i ?4 HOURS 3EfORE CONSTRUCTION! Date � � <br /> cHecKus-r , D;.11�!' liY LD;i h�.. Fee o, a1�p-i�-�r _. <br /> wata� va��e � B- t 8- 75 A rovals <br /> Dreinage � '���� -/p'��— <br /> Curb&Gutter i Engine � <br /> Sidewalk Water � <br /> � : <br /> `�/ 7�;r / Street . Y <br /> ' / .�Ll4i CommunicationsI��/ �p�� - �"��/-7d� <br /> Inspector'sSignamre Traffic�(t��.-[.c+M �f - ZO -7� <br /> ' r <br /> /`... " - Planning ���/�_���..—TI�� <br /> / <br /> e_�� . <br /> Remarks <br /> Note: Original to Customer — - — , <br /> , ��PY �� F��e 102fi5 � /� / <br /> 7 Copy to Inspe�;tor APP�o'!' .y�p�_ _�w�� <br /> � ✓GL�'" <br /> Da+a/Apprm d � <br />