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APPLICATION FOR HIGHT-OF-WAY USE PEflMIT <br /> everetl <br /> � 10554 <br /> CITY ENGINEERS <br /> EVERETT, WASHINGTON PERMITNO. � <br /> The UnAersigoed_ ___ <br /> Hereby applies for permission ro_ ,� '' <br /> At the following loratwn_,___ <br /> SKETCH <br /> (Work to be done) <br /> i <br /> I <br /> i <br /> �, i <br /> � i � � ! <br /> � ( . <br /> � � <br /> _ ' , I ; <br /> 7 , il , � ; ;-; <br /> _� , � � <br /> ; , <br /> �; � ; <br /> �� � � <br /> ' ' I <br /> , , � <br /> _ _ - ------._ __ <br /> ,. , ; <br /> �>, ; , � � ; <br /> 1`�� ��.� i � _-._ � - ; � <br /> . , ; ; � , � I <br /> :, � <br /> , ; . , � <br /> -�.. � � i � �� I <br /> � I ; ) , ; � <br /> � _ <br /> ) I ( , i,, ''` -.�— --i- - - I- <br /> f � . <br /> , I � <br /> I �_. _ ` ,.y_..�+ � �> <br /> � j✓-�—}—� —' . <br /> ✓�� r' - .1,' ' /,�• �. ._._,i � <br /> L <br /> -_ [" �.�..' �,� , .' �l' ' <br /> ,_ I '—_. _ 'I�_T__,L.._._ <br /> DRIVEWAY SEC710N , The undersigned owner hereby agrees to hold and <br /> NO SCALE -� save harmless the City of Everett trom any anA all <br /> � � � - � r.laims for damanes ihat may arise because o( installa� <br /> P' �ip' � tion and maintenancc ot ihe impruvement hereto <br /> applied for and furthc� a9rees to remove same upon <br /> �30'+ __ . _ _ _ I 30" I notin (rom the Cily and to replace public property <br /> y�. .� <br /> damaytd there6y. ��'� <br /> y�� �_ ; <br /> Signatu�e of Applicant 1 ---�---- <br /> / i ' <br /> -- ` <br /> COPI" U�� IIIII; �PPLIC�IIUh; lu Address — <br /> . RE POSi[D ON JOliSI1 L. • <br /> CALL �-NC3INFEHING D[PT. ?h0 i;t�;i � Telephone NumberV - <br /> --------��--��------ <br /> 'I�uiH`; ; f f (�lil �_�ifd� � . �i�. ; Date — <br /> CHECK LIST Fee � �--�--- <br /> Wate� Valve Dept. ApproVels <br /> Diainage <br /> Curb&Gutter Engineers�_____ __ <br /> Sidewalk <br /> _ . __ . . Water� -----�- -- / _ <br /> 1 �, � • Street------ �---- <br /> - �� ./i � �_,,:.�_.'. . _ . . . . Communications_ <br /> Inspector's�iynawre Traffic - <br /> - Planning_. � y!� . <br /> ., � <br /> .__—�". . .� . --- � c� <br /> Date i - - . . .___ ._ -.-- '��. ., . „ /.' - ., . <br /> --.__ . . . ---.. <br /> .____.__------ <br /> Reniarks _—__ <br /> Note� Onyinal tuCustome� -------- ----- <br /> , co„Y ,o F�i� 1 (� � � n <br /> — --- --- -- <br /> 1 CopV to Ins�;ector Approved by <br /> __ . __ .' '_'_.__._ _ .i __..::_. <br /> Datr /1Pp�oveJ <br />