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APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> everen <br /> 10219 <br /> .� ------'777 <br /> CITYENGINEERS /�_ �Q <br /> EVERETT,WASHINGTON PERMIT N0. � � . <br /> TheUndersigned �B P/iC/-/ALL . <br /> Hereby applies tor permission to REPLl�CE s/�EWiqL/� _ i <br /> At the following location �Z/3 - /2/S C6 L B � ��/E I <br /> SKETCH '�� � <br /> . (Work to be done) <br /> , _--� j� �� <br /> I 1211' 1215 ►Z19 , <br /> � <br /> C!) - - - <br /> ' � EX lST/NG CURB <br /> f�' G U T TER /Vf_ W CDNCP.E TE S�DEWALK, <br /> I (v � ' W/UE- y /2�' L/?NG x 4" TH/CK� <br /> , � <br /> i, EX/�T/NG SIDEW�ICK COL B Y A I/E. <br /> � I DRIVEWaY SEC1'i0N The undersigned owner hereby agrees to hold and <br /> No SCALE save harmless the City oi Everett from any and all . <br /> , --- � ciaims tor damages that may arise because of ins[alla- . <br /> i � — tion and maiMenance ot the improvement hereto � <br />� applied for and further agrces to remove same upon <br /> i � 30" __ _. .._ .— ____-� 30�� , <br /> - notice from the Ciry and to replace public property <br /> ����`� � � damaged thereby. <br /> i . ,_. .. q�,.� P.�,...2.�.eP �""..Ae�.o..�. <br /> Signamre of Applicanl <br /> — _ zS I i U�-�-+. P—Q <br />� COPY OF THIS APPLICATION TO �� Address � � ,, ,, - �} <br />�I �BE POSTED ON JOBSITE. I �`�`�`'""�"` ��'� , <br /> Telephone Number <br /> ICAIL ENGINEERING OEPT. 259�88111 �o— �a — 7 �� <br /> I � 2d NnUHS (3[FORE CONSTfiUCTI�)"J�i Date ��� ���. <br /> CHECK LIST Fee <br /> Water Valve D�p . Ap �ovals <br /> , � Drainage � �� � /2_-7 <br />� Curb&Gutter Engineers ✓ /v�' <br />� Sidewalk Water� � �?,��,�,.i�� /� <br />� � � ' <br /> � Strcet <br /> , i /, /�/ti«' <br /> Communications� � �--�'-� • �-�3 ;:3� <br /> � Inspector'sSignature Traific � <br /> �'I r7 j 1 ,' Plannin f��� 7� <br /> � i /: " 7 - <br /> ate <br /> Remarks <br /> - t Note: Original to Customer <br /> , �o,�Y to �,�� 10219 — — <br /> 1 Copy [o Inspector APP< <� ` oL ��.���,L�� L—�/J, -T- <br /> �I4� [i� ]��/�� <br /> Dafe Appro ed <br />