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APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> e�� 10 513 �� �� <br /> � <br /> CITY ENGINEERS ' � � <br /> EVERETT,WASHINGTON PERMIT N0. � � � �� <br /> The Undersigned � ��' '�� - �•:, ��- ,K" �� - ' -i t' " ,� - —� <br /> �- , , - <br /> Hereby applies(or permission to �--' " 4 �a -' "�' � %� ' "� <br /> At the follu�ving Iceation % �' �`� -�5 �:� - '�..� '% / -- — _. .---- — <br /> �-' --sil --'-!�,�C� - <br /> SKETCH _ — ' <br /> (Work to be done) /�*'� '�EIVE �� ��:� r -�.yi L'7 p', �, .) .[. v: <br /> Wp C.�S/NU ' � <br /> , i;.,---� �_� -- --- --- �� -� --� � <br /> -�'c----,�— al--`-- �I <br /> i0� � _`-�`='E'����__-- � ! � <br /> � I �I I� <br /> f1 ''I��' �r�' . : £ - i � „ i � <br /> � _ � -/=�is .�.y ; � <br /> - v`- `�,: .'.�'—; : >,� i,-- , .Y �" ��cveh,— � Iv <br /> IJ1 ,' /i - I � , �F '�\� � <br /> ' � I I <br /> ��� �-__\ � , <br /> ' �O�AOD/ T/GNN L R-O-!�►/ � I <br /> RE<xrEsrEv f�2a� C'cr�ry----- � -- - -- � <br /> . <br /> v) <br /> I �►,�.1 ; i <br /> �;, • �\� �W�\ <br /> .�C'-J V �),� � c�� :i � -'^' �;C � `i I �1 �� <br /> ��- i �F -:"� ,; �, ,:�F,, Q� <br /> �Fit/r r' <1 c ,• .���it ;.�,F_�%r �. , .,,_ ��� <br /> < s- sJ�UF1/I% . k�� � <br /> � <br /> DRiVEWAv SEGTiON / � Y„1 The unde�signed owner hereby agiees to hold and <br /> � NO SLALE ;/!J�J � save hnrmless Ihe City of Everetl Irom any and all <br /> � =- -- - ' �' claims for Aamages�hat may arite because oi installa� <br /> r----- �_ <br /> . �„ ��P --- �� �� � � ��� tion and maintenance ot the improvement hereto <br /> r 'U ,r� I� apPlied for and further agrees to remove seme upon , <br /> �30'�. ._ __ . . . _ _ �.3o�.� � � i notice from the Ciry and to replsce public property <br /> '' uama d th/ereby_ .� ���j� <br /> � �_�`! �r1�e�V/- W / —_--- <br /> � Signawre ol A plican� <br /> � ,� �'� ���/�� - <br /> fICOPY OF THIS �PPLICAI IpN lU � Addrei� <br /> I BE POSTED ON JORSITE ��������_ � ��� <br /> Telephone Numbei� <br /> I Cl�I L ENGRJf FRING D[PT 759 f?7+1 i _� S`�- S�iJ/(� _ <br /> {J <br /> ', 7-tllll�lt�'� I'JI �.1R1 i�o'J; ��nl�.'. ii�i�; ry � i .� _ Date � . <br /> _ __ � 1 _ "'�'as ��a�� <br /> CHECK LIST Fee <br /> Water Velve D?, t. prov Is <br /> Orainage G. �� <br /> Curb& Gutler Enginee <br /> Sidewalk Wate� e ['�� (� <br /> ---__ _ <br /> . � S�reet �__� . - ifti.� <br /> ( �> � <br /> Communications <br /> lu�ctor' igneWre Traffic - � <br /> ,; Planning` f � ' <br /> L ... e <-', �SSdto� �� <br /> �-`�---.� - - _�-- --- � - � - Sru��. r . �!� - <br /> �ate <br /> ' �iT.� l� � 6�.r.9�6 �� ,C't.l�'k''� - <br /> emar s � //��G . ��/��/✓� �"� � --- - <br /> Note: iginal to stom /� <br /> 1 CnPy tu Filc 10 5 t 3 � G ---- - --- <br /> 1 Copy to huP�ctor Approved � <br /> (_ — — <br /> f)are A(Spioved <br />