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rveren APPLIGATIOIV FOR RIGHT-OF-WAY USF PERMIT <br /> � �-OQ� 3 <br /> CITY ENGINEERS <br /> EVERC-TT, iNASHINGTON 1Ti'L�pj <br /> , 1 PERMITNO._ �' (/ <br /> The Undersiyned_�'V r_'j_�g� _S�E E �__ <br /> Hereby applies for pe�miseion to_�O��ST�s /� 42�� N I G, �� E N <br /> _� til C I T 4 21 c 4-1 T O� -�--�`- 1 c !t F _ L E_ <br /> �nJ Pc�j� A h l e�---�s'_T=�� -Xi,�T ���e.KS <br /> At �he following Ixation �S 3 2� <br /> �-A4��—����------- —— – <br /> SKETCH .__^_ <br /> (Work to be done) <br /> ----- .� -� � i� W . ...-_ <br /> � - - . ._ ._- ----- � ' YN_____�� ��� <br /> i�AkE� ,c�V _` _`°'' ------ <br /> _-______-_ -- <br /> l ,,� <br /> -- ---- <br /> _ ___ , <br /> - __� <br /> fl�Is7, _ _ �-- -- — — _ --���=x_. � ,�/ , <br /> si�ew�L,�i � � s� <br /> wA�a2 � I <br /> i , <br /> — — - - --- - i � ',y,,,"••i � <br /> L--- � 1f7. TO TSitic FOGG S�W <br /> � �, <br /> i <br /> iF /vfE 7� �E <br /> ZS3Z � 29, � �K�M �L, <br /> � <br /> ----- �, <br /> 9 G oPP�2 WAI��t' <br /> SF_�Py.Ct TD 2¢// <br /> � � Z P..S' o�F c� <br /> j � �sT � <br /> I �v�w ►� <br /> , 2�„ c� <br /> �b j � � <br /> _ ____ ____ l ____ <br /> DRrvEWAY SEC1ioN The undersigned owne;hereby agrees to hold and / <br /> � NO SCA� save harmless ihe Ciry of Everr.tt (rom any and all �� <br /> ��_ _ � r.laims lor Camages ihat may arire because of installa� <br /> � _- � <br /> 1 f' LIP tion and maintenance of Ihe improvement hereto <br /> --.--�-.-� <br /> �30'+ �—�-- ��30��� applied for and Iwther acJrees to remuve xame upon <br /> � �� O � „ notice from the Ciry and to replace public property <br /> `� ' damaged Ihereby, <br /> r`-��.-Y�� <br /> $ignature of Applicant� �-�--�----�- <br /> 2 <br /> . ,��, �ii ivir; .�,l�r� i� „ . , . q-d��1 ���K-��`C . ._-- <br /> , ,��:.;I1.U (1tV JUItSi I I � � .�� ' �O �- <br /> �U.L �N,WFERINGDFPT 9�;nqf,�, TeephoneNumber — <br /> , �i .��ir ;�r � ��q�. ,.�,. . , �'-'1.3- <br /> , . . Date � —L�------- <br /> CHECKUST Fee ---�+��-�-�-- ------ <br /> Water Valve -� <br /> Drainage '`C-[,�D �4 �� DePti <br /> Curb& Gut�sr J X`"��'-�'d����5�� __� <br /> - � Enginecrs <br /> Sidewalk � �(�J /��t_, <br /> ___ . _ � _ /' .l�PP //O/G Water ` � ' <br /> J/ /� Stree( /;, / % <br /> i-_ _ ,�l` L.UJ J �-`-=_�-L�.— -�'.���----•-- <br /> �-p-� y Communications=_ � � �� =�� <br /> ' 1 pector s ignatwn �� ,/O� <br /> �� Traffic <br /> �?a L <br /> �) _ � —_ <br /> -�C.����'l- .f�'. hJ I� Planning. . - / � �� <br /> �Dale -r�!! . ._.. _��� <br /> emar:s I �" "" _"_���.JFib.� - _ -... __ <br /> ----_. _._- <br /> Note: Original toCustcmer q / �6 .__.__._____ __ <br /> 1 CoPV In Fde � �n�J ._ __- - . .. <br /> 1 Copy m 6�spe�Ia� �� � � -- � <br /> d �y � / <br /> nnProve <br /> Da;r Al��noved �s <br /> C/��`��� . . ... <br />