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1 <br /> cvrren <br /> APPLICAI,�N fOR RIGHT-OF-WAY USE PERMII <br /> � � 10178 ' <br /> ' { <br /> CITY ENr,INEERS � i • ', <br /> EVERETT,WASHINGTON j _ ' I <br /> PERMITNO. ' � ' <br /> The Undersigned i� �;i��� �; ,- .,�.�/.. �J%:,- � � -- -.� - --- � <br /> � � ' ��%L�� _— _..------ <br /> Hereby applies tor permission to � ��L��. � i�i1'�'/.'Y(J ., � �� ; ' / � I <br /> . � V ��L.�4 I <br /> �.� z , ,r��: - r ',s, .� , _ �li�.�L) '-y_ -�y <br /> At the tollowing location_ � iJi/c�/J = _,� ._.�iir'� .�^. �����.�//.,'.1�_,../-- � <br /> :,�.�l,, � ,� r�� �L s '� . . <br /> SKETCH — —�--- -- <br /> (Work to tw done� <br /> /,�//Ir _;./ . �) ;;,/c� i , <br /> .;f� .� �i: i�///�" �'.J '�'-'/ /J .�_FJ/h,J /,c/.� <br /> L ' _� 1:G✓n/r: S �/C.�.f' � — �� ' -� , _ ,.. <br /> < ,.• � � `� -.` � L- 7 -� rT�;. _ ��i; ✓ <br /> DRIVEWAY SEC710N The undersigned owner heiel�y ayrees [o hold 'und <br /> NO SCALE save harmless �he City of Everett from any and all <br /> � � -- -�� � - � claims lur Aama9es Ihat may arise becaine of installa� <br /> � V Y, uP_____� tion and maintenance ol the imp�ovement hereto <br /> �30'y �� I ;e^ � aPP���d 1or and further a�rees to removc same upnn <br /> •1' , no[ice from Ihe City ard to replace publir, propeity <br /> damayed thereby. <br /> Signahvc of Applicant --------- <br /> __ _ - ` i �- i . - . <br /> �'. COPY OI I Illb iAPI�IJCn I IUN I i � Addre.s --- .. <br /> I O[ POST[DONJO(3SITC � _,I . ;(• .. <br /> ' CnLL FNGINGfRING D[PT. 759�t%�.I i TelephoneNumber � <br /> .. � ; �p <br /> 'c���-'-'. �_��_� <br /> �I �IuiiH; Bfhnf{CCUNGIHUCIION� Uate -- <br /> - �'. � -, <br /> CHECK LIST --�---'�---� �- -'-�� <br /> Fee _ . _ . __ _. <br /> Water Velve De L A <br /> D�ainage p pprovals <br /> Curb &Gutter Engineers_ -� L.__f_ ;� �� � - <br /> Sidewalk - --r - � - <br /> Wa�er � ,' '� � , <br /> r �j/ /- Sireet ,4r <br /> .�`-'�..'-�-`"�— <br /> _-1��� C _ � Communicetians_�_ - <br /> Inspecror'sSigneture '���3�� Traflir. � . •����/. .1_��_� r.�/. � <br /> �, �� �y L�:.-1-1._il��--- �,_1. <br /> . �,� , Planning_ � � <br /> h S. ' <br /> 1/illl! <br /> r � <br /> .ii_L' _. _ _ ' . . ,. .. l. S _ nY. -✓ . .i ��. ; . ..__. . <br /> Remarks � � �� ' - - <br /> Notc: Onyinai to Cus[omer <br /> I Copy �o Pile � � 1 ? �,.�. _.. -_ <br /> ' . �� _---_�_._ <br /> 1 Copy Iu Im,�n�rioi APP�oved by i �j� <br /> ' � ' <br /> Ddtc Appioved. . . . ' _ _. . .- � .. -'_ .-_, � , � <br />