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evcretl <br /> APPLIC,ITION FOR RIGHT•OF-WAY USE PERMIT <br /> 10�140��,, <br /> , <br /> � <br /> , 9.%'�' , <br /> CITY ENGWEERS �� � ��� <br /> EVERETT,WASHINGTON PERMIT N0. � G ' /F� <br /> The Undersigned $; '�(( �r, �. f,�. 7 (� l� r�� � �- <br /> Hereby applies toi permission to �e n S f 2 ' 17 ' q s �• h il�N HniJ /�rvp fY'.orJ ' O/✓ <br /> - � ue .Qi ��r-OF- ,gfi <br /> At the foliowmg location f3�.S b1/� C e s i n n l��. <br /> SKETCH <br /> (Wark to be done) 1 <br /> I`---- _ 'r,a , e_ .------------- ---.. _.. .__..--- ^ <br /> a. <br /> �-- - - - - - --I � � <br /> , <br /> � i v <br /> , <br /> !� �' <br /> c i,,.,, �, --� <br /> i ` <br /> I � ,,, i. ��� , I , ��I <br /> � �� � <br /> I i � 1 � � <br /> � � � 2, � <br /> � � � o <br /> '--- I I �1. �l <br /> � �� <br /> I � �1 <br /> �, � (.i <br /> P � �Z C���vErzTS � �-, ' ` <br /> -- —� -- - - ��srh_ ' n h I-- rl� � <br /> � c n,.. . �� — r }- <br /> —L__.._'_'__'_ �l—D _ � ` ���w /Q� <br /> }_'_"_ ' <br /> 7� LNNpSC9ra�NC. . � lA.vOSC�1�iN6 �� .►. Wo�f.r �I� <br /> _� _ - ---- _ --�--, � - - --.� 30„ :��n/. <br /> � � 1)� !' � �� i1' 4-_ <br /> � ni � <br /> — Q, <br /> ����{� _ _ _ M.M. I� '_ <br /> I w CA�iIfJO R p. �� <br /> . <br /> __ . ..'___.__._____' ___' M�,a .,� - o A_ :� � <br /> . __ _.. _._ _ __ _'. __'_ .___ <br /> . _____ . .._.'___'____'__'..___._. <br /> .. . .I _ _ _..._.._. .t_.___. . __ ___. _ _ _" __. _'_.—___ i�h <br /> ' I <br /> DRIVEWAY SECTION I The undersigned owner hereby ayrees to hold and <br /> NO SCAt E + n�p yv, save ha�mless the Ciry of Everett from any end all <br /> � -- — 2��� � claims for damages that may arise because ot installa� <br /> _ `�^ �ip � tion and maintenance of tlie improvement hereto <br /> �!0'�_—r _ . �30"� � N � } � � l� aPP�ied for and furthe�agrees to remove same upon <br /> � " � notice from the City and tp.re,�a��c moprrt <br /> r Y <br /> ��2G.. �:....k 1i' /.t'�9ed f�reby. �j l/VJ� � �� <br /> / �G, ..�,,.. <br /> ignat r o( A plican - .� <br /> ICOPYOFTHISAPFLICAfI0N7(� r {..V� rr�•� ' .� ' ��SSz / �iw�y9 � LJ/�L,(/Lcl.�L�/� � <br /> ' IIE POSTf f� ON JOBSITE. N�-'P� ` " c.i"j— / S � .S <br /> � ��I L f_N�.IN[ERING DEPT. ?'��i-�'� � i ' N.� � �II � �Tele�Number <br /> - -� �o�,� ht- � <br /> i <br /> .'� "UUR.'� f3flilH( C(�NSiliin i,��i; ' r! (�_�ll�� ' � Dare .y � � <br /> T _ �� ,:� ' II �1 . ____ //��---Iy-L__`� � <br /> � CHECY. LIST �^ 1 %'� Fee � <br /> Water Valve �� <br /> Drainage ept p o �15 � <br /> Curb&�Gutter .S <br /> Enginee <br /> Sidewalk � � � � <br /> --� - - - — �� i) . wa�er ._„ _. •_ �-- <br /> Sircet � <br /> — '�:-� - —..__-- --- <br /> Communi tipn " — "� ,�_ _ <br /> InspeUcr's Signatiue Traffic �(. <br /> �_.- <br /> Plannin`g .-� � j�� <br /> TSa[e � �.t:��r '!/.� 7� c:� � � —_- _. � J <br /> _ _ —_________ __ . _ .__ <br /> Remarks - �- — —� ---- <br /> Note: Ori9inal to Customer -- — ----- - <br /> , �o,,Y �� F,�� 1.(14 4 0 --- <br /> I Copy to hxP��:�m APP!ovrd <br /> " ' �v -- <br /> �ate- pproved <br />