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everen <br />� <br />CITY ENGINEERS <br />EVERETT, WASHINGTON <br />The Undersignetl __; � <br />Hereby applies for permission to y� <br />At the tollowing location_ ��L <br />(Work m be donel <br />a <br />APPLICATION FOR RIGHT-OF-SIAV USE PERMIT <br />10745 <br />PERMIT N0. � �- ` �"` <br />v c ; n" _ _ - - ���.._.�-�.:�.--- <br />-..�___l� � - _— !_ c T- � r .---..____ —_—_.__. ._.— _ <br />! ,� .�. I , . . <br />r/ �z� Ir,.: , .v.,�: r`:.. : N,:�,n <br />✓. / ' Tli.. P�., ( L . ., �r i ,' � / � i� <br />� i . . ��,� So !t t� <br />r.�5r,.��•,i,�. rt,,• ,;�. ., sho,.�✓ 6: o« <br />f.� i�rfr.�vie v,,/h nr.li,��'�n.�.i�� � <br />„ tti.s l�.,r. <br />� / „ % ''/• �/> > <br />DRIVEWAY SECTION <br />NO SCALE <br />r_ - -- - -� <br />� ��" LIP � <br />L70'+ T.-.. .�30'� <br />i- <br />I.UPV UI� 11111; r1PVLIt.�I I IUfJ I U <br />HEPUSiEUONJG6SiTf. � <br />GALL EfJGWFEl7iIJG UEPT. 7'.;9 PF1 I <br />. , �n1i112`.1:1 I l)flf (:i)fJ' II.'I�.:lii': <br />CHECK LIST <br />Water Valve <br />Orainaye <br />a�i� a c�n�� <br />Sidex�alk <br />Inspector's Signature <br />:��� <br />�+���„T�ks <br />---. _.._.._. <br />Nule: Original to Customer <br />1 CoPy In File. '�. � 7� 5 <br />1 CoPy �u Inspecirn <br />i <br />The undersigned owner hereby aqrees to hold end <br />save harmless �he City of Everett Irom any and all <br />claims for damages ihat may arise bacause of installa� <br />tion and maintenance of the improvement hereto <br />applied for anA furihe� agrecs to remove same upon <br />notice from the City and to replace pub�ic properry <br />damage thereby. <br />-��i�f !/ M F1--s-�vC- <br />Signature of ca�t ,- <br />_ ���-�--�_ <br />Addiess ' / / 4 �y <br />7 l T � (� - /��I�J �/ / y .� !J/%GNIi � <br />Telephone Nu:nber <br />I7J — 3.5 G 3 <br />Date 3— ?/ .%7� --- <br />r .�- <br />Fe�� <br />Dept. Approvals <br />�� - I� <br />6i3ineers �� �F. w.,-/ <br />, <br />Water�7 � . ,�,^ y%J�- �"."��,__._. <br />��_ _ <br />Sireet_��S.i:{�------ --- <br />Communications <br />Traffic <br />Planning_ � <br />• � ...%/ — <br />,:. )/ � ��.. ,��� �,Q , - <br />Aporoved b � �� � <br />- ��`J�" - ----.___ <br />Da:c Appioved <br />