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� <br /> APPLICATION FOR R1GHT-OF-WAY USE PERMIT <br /> everen - 1�O r�7 <br /> � C <br /> CITY ENGINEERS �7 ¢ _ r ,q. z <br /> EVERETT,WASHINGTON PERMIT N0._/ <br /> The Undersigned /"l � F R L n.v sTR . C� � __ <br /> Here6y applies for permission to_ - A.II �"7'JP ( 1 C T � (,L//�� �Oit1C�i',IFT cL � <br /> �T/q i Q�S /^ <br /> At the tollowing location� � � y [ _ E1�/9�t v T _. .. <br /> SKETCH <br /> (Work to be done) n <br /> � <br /> � <br /> � <br /> - T� ��t �� y�o��..�,�� <br /> �� � ; � <br /> I �' G� w�DE SiDCv��vC. � yrwfz5 � <br /> � , ' `6 ,9 '� <br /> �' �v�� -1 <br /> � <br /> i <br /> I � <br /> � � <br /> , �- ��ST«.x� Si��uc �. ����3 � � <br /> DRIVEWAY SECTION The undersigned owner hereby agrees to hold and <br /> NO SCALE . � save harmless the City of Everett irom any end all � <br /> claims tor dameges ihet may arise becausr. of installa� <br /> � -- � �;� - tion and maintenance ot �he improvement hereto <br /> -- applied �or end further ag�ees to remove same upon <br /> �30" . 30��� notice from Ihe Ci y enA to replece puhlic properry <br /> da, t reb — <br /> { �_ <br /> , Sig Ci of P I' nt �� <br /> � CUPY 01= THISl1PPL1(:AI-IUN lll ID Add��ss ? /7 �y <br /> �� 9F POSTED ON JOf3SITE. - vy J —�4 2 J <br /> Telepl�r}e�upi�rs,— <br /> � �' rnll (NGINfFRRJ('� f�� Pl ?4" �'.�.� : ���� y(/ � �1 _ <br /> . 7aiu7iii�`�, �i! (ni-I : �r�i�. il'i��. � nrl / Dam/� <br /> ��,� � �.�FeeC�9 F F E — <br /> CHECK LIST <br /> Wa�er vaive J J ' Dept. Approvals <br /> Orainage � f ' <br />� Curb&Gutter ' Engineers_,�_]���� /�.1�, rKti- �� <br /> Sidewalk _--. Water__����- '-i-'/�f/jp�,��:•��/1'nl� <br /> - <br />� Street_L�=�_�� '�� <br /> �� �l � Q � '� � � -� � <br /> �i� i\^ Q�=� � � D�� �- � Communic� ' „_, .. <br /> Inspector's Siynature � �p.,,�✓Wto�VL Treific / I� <br /> . � I'' _�`1 .._--- . .__-- - -�- - Planning.Ye� _�=��--- <br />. � -Dete- — � <br />' Remarks <br /> Note: Original to Cus�omer <br /> 1CopytoFile 1on27 � -� <br /> 1 CoPY in Inspector Approved by - �J <br /> Da�e Approvei`%���� (� � <br />