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Yveren <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> � 10534 <br /> CITY ENGINEERS - ( <br /> EVERETT,WASHINGTON PEI2MIT NO.�� - � `�-� � <br /> The Undersigned l T � C� 1� �� l= ��Q ti �-1 C.,, (_, <br /> Herebyappliesforpertnissio�to_�DlV �T�C �fL% 2S � /� � l�j-(/� L� ���i11L)�� �A � <br /> !>�/ 1�'i I �./ J C' l�-(5� �1/ <br /> At the following location J�J� 2 'J� f�'�1?(��t'�u/ Y , <br /> SKF.TCH <br /> ' (Work to 6e done) --.-- �� � - -- - � 1 <br /> � I <br /> �$a P/L <br /> � � <br /> �� <br /> , <br /> ' P/� <br /> i <br /> � <br /> N° � 1 / SSz 5 <br /> SCA L� � <br /> � � <br /> � �L 4?' I <br /> ..,- <br /> � <br /> I 0 � EXisr <br /> N � <br /> ( m ; � i I FIR� <br /> i �FI t:+ l i NHYt�RANT ! <br /> � , , <br /> � <br /> I � �� p�� 7 I <br /> ; , 3 <br /> i o � � <br /> II � � � <br /> � w °� <br /> ; I ' <br /> � DRIVEWAY SEC710N The undersigned owner hereby agrees to hold and <br /> I {��_�NO SCALE� � � save harmless the City of Everett from any and all �� <br /> ' I � 25� ciaims for damages that may arisc because of installa� I <br /> �� I" LIP tion and mainier,ance of the improvement hereto � <br /> I 30 � �3� appiied for and furthcr agrees to remove same upon � <br /> I r—� — notice from the City and to replace public property <br /> I <br /> darngged lhereby. � � �� '.. <br /> a� �t �r � r <br /> �� , �Rv�t3 �� �ignaturv ot P,�p� r�T . <br /> � � 7'' �.L� �, n ••.5��- <br /> ' COPY OF THIS APPUCATION TO 1% �'� ��� A �ess {�.► <br /> I I Bf- POSTEp ON JOdSITE. �L�:;-,.1:N �w��� . <br /> CALL ENG�NEERING DEPT. 259�0811 7eiephQne Number <br /> � '^ I IpUR.=pFT�[ COfJST.RUCTION Dat�� �� �/�,/>� ' <br /> i ' <br /> Cri'eCK LIS i � � Fee �j S U� � �'—""�`"�`''— <br /> Dra na ealve �' L "Dep�vals <br /> 9 l ,/� <br /> Curb&Guiter Engineen�. b � 7 ' <br /> Sidewalk Water '/ Ua or-Sc.4c � <br /> Street �.��,_;,�X �� <br /> Inspecto�'tSignature Communica �� ' <br /> Traffic - -:� p�j� / � <br /> Planning �� ' ' <br /> at-6e— Ser,,ier. C �vi., Sas -I� - r o e�)' <br /> ' Remarks — '�. <br /> ' Note: Original to Customer C <br /> � 1 Copy to File '� �1;13 4 � <br /> . 1 Copv to Inmr.r.tor �-Annn.no.l h., i �) � � i , <br /> � �_ i�-;..,: . i�—l. �;�__ n/il/�l� <br /> Date Apprnved � � � � <br />