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APPLICATIUN FOR RIGHT-OF-WAY �J�E PERMIT <br />evcren <br />� <br />CITY ENGINEERS <br />EVERETT, WASfiINGION PEflMiT NO <br />The Undersignrd .�//�. . - / r_! �i, i� - - - ------- <br />Hcrebyapnliestorpermissionto f.%� i��l����� i�a /]� ii5i'h��/7 Li�:�!___ <br />A[ [he tollowing Id:ation_�'._;�L_ /��� 1 F_" t N,_,yy____ <br />SKETCH <br />(Wnrk to be done! <br />0 <br />DRIVEWAV SECTION <br />NO SCALF <br />�_- __ _. . _ __ _. . � <br />L__�----�Y' LIV ___�� <br />�30'� T _. _. y30" <br />-r � <br />::i)PV UI- 1HIS l�l'PIJCr;11UlJ �U <br />8[ POST[U UN JOE3SITE. <br />� CALL [NC;WL[RIPJG DEPT.: �9 HA11 <br />', �{f1UH'. �,i 1 UI{E ('��"P.iiP,U(�.!I11>1 <br />I GHECK LIST <br />� Water Valva <br />Drainape <br />Curb & Gutter <br />�Gidewalk <br />--� - <br />-_-__-------- . . __ . __ _ _ . ... __._ <br />Ins,�ector's Signature <br />6,ne _.--�- <br />-- -_ -._ ... _ _� -- <br />Ren�arks <br />Nut�� 4��,nnaltnCusiomer <br />� �.r�iry io Fiiu <br />i ��o..�� �n Im.��rcinr <br />a ncjrn <br />�� �� � ^ /J �- .:jC N = > <br />10i�54 <br />� <br />The undersiyned owner hereby agrees to hold anA <br />save hnimless ihe City ot Everett Irom any and all <br />claims for dama9es �nat may arise because of installa� <br />tion and maintenance of Ihe improvement herero <br />applied for and further zgrees to iemove same upon <br />noUce from the City and to replace public properry <br />Idi?fa4e ,inere�y. <br />� <br />Signa ure of Applica� <br />� "`jo L - `%--����� ---- <br />Address <br />—�'"' 3 ., % o <br />-.— --- <br />Telephone Number �. <br />_Jc'iir...—��-�-- - <br />Date „ ti // <br />—�.._. � S% _ ��1 � y ��L.�.- <br />Fee <br />Dept. ApProvals <br /><� <br />Engincers_s . � _- _ <br />i�ree� <br />Tratfic_—_—__- --- _ <br />Plannina___ ___,_ _. <br />Appioved I�y <br />Do1r APp�rn� �i <br />