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APPLICATION FOR RIGHT-OF•WAY USE PERMIT r� r� <br /> everetl ��L S L <br /> � e <br /> CITY ENGINEERS '> - ' �� � <br /> EVERETT,WASHIN N / PERMITNO. i`� -/`" : <br /> The Undersigned / � �- �� �,�' �'� C - '- J ��� . � <br /> Hereby applies for oermission m �.c)/V� TiPiS�E�' O/�/ �- � -k/ �.�TLCl/�/�'/y � <br /> At the following Iceation Z � Z T-' L s�j'"h� �-� � " �� �_ � T� _. ��' <br /> .� i <br /> LOT �' I �' � � � . <br /> SKETCH I�� � � <br /> 1Work to be donel <br /> � <br /> � I <br /> � -�9- •�;7� I <br /> --- ---- � I <br /> _--- - - � Pr o r�v� � v <br /> C''� I <br /> — ul �l , �L �>%l/r IZ IN � ('l lAI •� <br /> '---------— <br /> (:�/i9L3/aPl'LF ?I�'��'i <br /> L 2412 �'� <br /> � � ;�; <br /> I r� <br /> �3 <br /> {a � i <br /> ; uv �craiL —_ I <br /> j � <br /> �5' Bri� k or 5 iD� �ua� � - � �� <br /> G%.' s/QE: �U�Jlic � <br /> , 6' 8'fN/N. CU�B a' ��/,A1 Ui <br /> � � � <br /> F_,115 T lNG CJ/�'a b'�:'UfTf'R � � <br /> j C� <br /> ,i � <br /> � i <br /> '�, URIVEwAY SECnON The undersigned owner hereby egrees to hold and �, <br /> ', NO SG4�E save harmless the City of Everett(rom any anA all �'� <br /> � — � � claims tor dame9es ihet may arise because of Instalia- '. <br /> � � tion and maintenance of Ihe improvement hereto . <br /> applied tor and furthe�egrees to remove same upon <br /> 4.--�•.-- - ��-��-�- ------ - ���, � notice from the City and to replace public p�operry <br /> d�m/aged thereby� � : <br /> � �Kt�'.�=_--,��__-��_�� ! <br /> � �na��af Appllca�J� / � � ' <br /> � Add es�L� " ���� ' <br /> COPV Of- 1HISAPPLICl1TIUN IU � <br /> ' BE POSTED ON JOBS�I�E. -Z � Z- �(n �I I � <br /> ' Te ephone Number <br /> cni.t. rrvciNErr�iNc ne�r. z,saar3i � I��1/I�( B Y L Uil �U. �r-/-7� <br /> � '� 7d HOUH; UEf-qRL CONSTRUCTION� (� - � - �� Date <br /> /YD FE� <br /> CHECK LIST Fee <br /> Water Valve f1 / / / -r� Bgf� App�ovels <br /> Draina9e �` Ln /�/nT �/'n7 ir�c 0[itl' �� �(_ . <br /> En in ��✓17m�.LLtl.f� �-S .r <br /> Curb&Gutter / 1 g' eer <br /> Sidewalk «/+Ter SeY�r e "%`:Yatef Q� ��G � �S <br /> � / /��/ � � - <br /> � / Sueei _ <br /> %�"'�`���� Conmunicetio � - --�1'- �-� '7� <br /> Inspector's Signeture Trarfic 75 <br /> � , � ��) � 4i).. ! Plamiing / <br /> i <br /> �re -- <br /> RemarA s <br /> Note: Origmal to Customer <br /> 1 CopV to File 1 n 2 5 2 <br /> � 1 CopY to Inspector APProved by ';,` �� , ;t <br /> t C v=_ <br /> DateApproved �-. . / y-" ,h <br />