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APPLICATiON FOR RIGHT-OF-INAY USE PERMIT • � <br /> everett _ SO� ^ p �� I <br /> � `+O [J" <br /> CI7Y ENGINEERS /� �`I I <br /> EVERETT,WASHINGTON � PERMITNO. -' —� _ i <br /> � /� <br /> TheUndersigned %�r_�'��i�� ����1/L` <br /> Hereby applies for pertnission to �-��✓�.� � �� — _ � / �: ' 6"���i= � <br /> . At the following location �`.� � �CC '`��ti�'��,�='� ''L- <br /> SKETCH <br /> (Work ta be done� <br /> \\I <br /> \ <br /> ��� o�� �L <br /> co,vs T�ucr �t�i � <br /> �� , , <br /> :_ � <br /> O,<' vEw'NY,� �i� ��''� l� , <br /> 'V <br /> \1 <br /> � <br /> � <br /> ' j ---�--c--`SEX�s Ti,��c-; c�1_� �� <br /> � �, �- � -` \ . .. . <br /> r <br /> � -�� �J r <br /> �'. � =,':.^1 L� . <br /> �/�LcN� �/��� �"'C , <br /> DRIVEWAY SECTION The undersigned owner hereby agrees to hold and �� <br /> � NO ScnLE save harmless the City of Everett irom any and all i <br /> �' — � claims for daFnages that may arise because oi installa• ' <br /> �_�I" LIP �� tion en&maintenance of the improvement hereto � <br /> �� �applied for and (urther agrees to remove same upon � <br /> � 30';�_______�.�o" � /' notice (rom the Ciry and ro replace public property <br /> damagedy iereby. <br /> , ��� , � '�' �r'%`/,��/,���.� I <br /> �,� SignaWre o1�P,pp ica t <br /> �' �:2 %Z D �/' ��' .l�.c.�y <br /> COPY OF TH�S APPUCATION TO I�,�.���.(� � Address ' <br /> � � BE POSTf:D ON JOOSITE. ;�{�I � � `�� — �� u � j <br /> CALL [NGWEERING DEPT. 7.57-£j �,t'(�' �` Tefephone Number �— � <br /> ' :�i HOURS [3EFORE CONSTftUrT'Uti� Date /OI 5p �� Z I <br /> CHECK LIST Fee �. <br /> Water Valve D@ t. o IS �I <br /> Drainage <br /> P P <br /> Curb&Gutter Engineer�_��O/� ��, <br /> tpi; t ,9 1` <br /> Sidewalk ` '! . - . • Watery1yF,yo-..���.e� Q3X...f � i <br /> Street � � ` <br /> 1 /cy?}.;:i . Ccmmunica i n �� --��' - � - G � <br /> Inspector'sSignatu�e Traffic `— - '� � <br /> _ . 7 /� Planning � ' ' � . , <br /> 1 .— ,_ S j SQ �- �P � <br /> ,i �/ " , .a.� <br /> ate � ' . _ . � � <br /> Remarks <br /> Note: Original to Customer I <br />, , ���Y to F��� .1 t�3 4 8 � <br />� �. 1 ::opy to Inspector Approved by ,2 <br />� ��� <br /> � � Date Approved <br /> �frr�'��i �,�H4'y�K;��u. , <br />�, ..�We�fil�Mab�Yt�.<� � <br /> i: r <br />