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� everen ' �PUCATION FOR RIGHT•OFWAY USE PERMIT <br /> e �-.0�4� i <br /> EV RETT!WASHSNGTON PERMITNO. �� -� � I <br /> ! The Undersigned��������'� — i <br /> i Hereby epplies for permission t C�N.C'T� iiiJ T o�S � ��(' F iCfL j` /.�/ i <br /> I <br /> � At the following location_ SQQ 2 ALKI D/c ��C i <br /> , SKETCH � <br /> � (Work to be done) i <br /> I � i <br /> I <br /> I // � <br /> �� ,�-�-K� DR� � <br /> � <br /> , � <br /> � � <br /> I � <br /> � + ! <br /> � <br /> ' � 50�2 ! <br /> j —NEW AS(�NALT � <br /> ! DRIVEWAY i <br /> � <br /> i �� r � <br /> 1V` <br /> , I EDGE OFF_XIST. <br /> A9VEMENT i <br /> , <br /> i �5' <br /> I <br /> � ��• <br /> � ' � � <br /> • /(� . SC'A•C� <br /> , � , <br /> � <br /> t <br /> � � DRIVEWAY SEC710N ���.) ' ?� The undersipned owner hereby agrees to hold and � <br /> NO SC4L� save harmless the City of Everett lrom any and all <br /> � ZS ------ ----`1 <br /> claims(or damages that may aiise beaause ot installa• <br /> I I" LIP tion and maintenen,:e of tl�e improvement hereto <br /> , --T , i , 1 I a plied for and further ngrees to remove same upon <br /> �� <br /> �o <br /> � ---�-d-�---� �'f'--�9 tice from the Ciry and to replece public property <br /> damage th y. I <br /> i ��ur o pplGan� � <br /> BC POSTED ON JO[3 �iTE. � I ' �� / � �� �� _ �� <br /> _ i <br /> I COPY UP THIS APPLICP,TION TO Ad7ross � <br /> 0 <br /> ' CF��L FNGWEERiN� DEPT. 259�HH11 � � ele on �b��' I <br /> � S ' /�/f � <br /> i 2A HOURS [7[fOijE CONSTf1UGlI01Ji 1 ua ' � — � <br /> CHECKLIST �j'Z1, �a' �O �r'� '?'ar )S' ' <br /> Water Valve Fee � <br /> Drain�ge �Bpt. A proVals i <br /> Curb&Gutter ' / / i <br /> Sidewalk Engineers • r���J �, <br /> ,� � Water . � � <br /> / i � , � <br /> , I ��./ / Street;�i/ <br /> � Cammunications � � ..e.s� <br /> Inspector'sSig � r�� � <br /> Traffic --� .�i �..- -r � <br /> _., ' <br /> / � � . . � ` Planning �' - ,� <br /> �� � — <br /> Remarks — _ <br /> Note: Ori�inal to Cus[omer — <br /> i Copy to File '�,O l a 7 <br /> 1 Copy [o Inspector ' �� � <br /> , , �lc:..G.��-.� � �� ,5�. <br /> JDaI Approv <br />