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APPUCATION FOR RIGHT•UF•WAY USE PERMIT � <br /> everen _ 1�6 2 O <br /> � e , <br /> ' CITY ENGINEERS / ' <br /> I EVEHETT, WASHINGiON PERMITNO. ��J - J �I , <br /> The Undcrsigned i� J � ��� � � ��.C ' <br /> Hereby applies far permission to '- � �� -.d..:. t �: � r�SP��/t D/l./ �� <br /> 7 I <br /> � At the following location 3/'/ /� ��,, ._:,,, /�:/ ' _ i <br /> SKETCH <br /> 4 (Work tn ne) <br /> j ��� � <br /> ' + i <br /> � � ------ --_'_.'__ � <br /> � CoTS �:� � � ' � <br /> i <br /> i 3i ) ! <br /> � A/.cry-s e� I <br /> I <br /> I i <br /> I � I <br /> I �o• I <br /> I <br /> � � <br /> � w , � _ -- <br /> .,�—��.. i <br /> i "-�,- � <br /> � �'nCKP�Q��f� _ <br /> tii i <br /> �,F` � <br /> 3 I <br /> � �� ___'__�___ <br /> I <br /> � � <br /> � <br /> DR�vEWAY SECTION The undersigned owner hereby agreet to hold and <br /> NO SULE save harmless the City o(Everett from any and all <br /> �— - ---�-"I claims for damages that may arise becsuse of instalta- <br /> � I" Lia tion and maintenance of the impro�ement heretn <br /> � � *oI — I applied for and further agrees to remove same upon <br /> � 30 notice from the Ci and to re lace ublic io rt <br /> f�'�`-----------�--�I H P P P- Pd Y <br /> I damaged thereb . ' . <br /> � <br /> i <br /> Signa ra of pp cant <br /> L�%/ h J7! ., ' II'idYJ1��11I 5 � ' <br /> � COPV OF THIS APPLICATION TO __ Addres ' <br /> �� BE POSTED ON J08SITE �'S�I- �3�'9 <br /> II CALL ENGINEERING DEPT. 259�8811 TelephAo�NuJn�er/97 / I <br /> � L � (o <br /> , 24 HOURS BEFOH[ CONSTHUCTION Date,� � I <br /> ... . _ ____. . . . . .. � � <br /> CHECK LIST Fee �� `/ � ��� I <br /> �t / �` � <br /> wabr valve pept. Approvels , I <br /> Drainage 7 �--` <br /> �. Curb&Gutter Engineers � ��� � -l�' s�h� I <br /> �, Sidewalk Water ,i�.��_ ^os ,1��f, . / s`�r I <br /> ; � �, Street,.,�,�' Gf ,,,� � '�' ' t 7 <br /> ' �'' l -l�- Communications�,' .��L, / � ' •: i � j <br /> � Inspectoi s Signature � <br /> Traffic � <br /> ' Plannina � � L�Q+�'' ��i 4Y�� � <br /> —r� � i°/ _ 77 � �, ��j—� � � <br /> U3�@ � _.�,_.!I' .�A.i 4 A9.ly�-' r��il . <br /> , /�Lc,L.� ���.1� O �I <br /> Remar es <br /> �I No[e: Original to Customer �--, ' <br /> t Foav�oFi�e 1 ��i26 —��_ ' <br /> 1Fopy to Inspector ApprOved y , / � <br /> � ,�.�-.-.�. _. r :.I� ul e - <br /> ' Date Ap�ioved ' � �'� <br />