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APPLICATION FOR RIGNT-OF-WAY USE PERMIT ' <br /> CVefC" 10 3 3 5 � �' '� � <br /> e �,.��; <br /> ���� <br /> CITY ENGINEERS 7��2�� . <br /> EVERETT,WASHINGTON PERMIT N0. <br /> The Undersigned +-�� ���� � ��'��v�J���� �� �� <br /> Hefeby applies for oertnission to ��IJST �3 ��- ��'�V�w� '� <br /> �li G . i <br /> At the following locaticn GZO� �O L�� - <br /> � <br /> SKETCH <br /> �Work to be done) � <br /> � .v v <br /> — r--- - — .r <br /> �3 GO�✓G ,_�: � ' � <br /> 1�,��✓E vYAy . �?(/ST G-U/�C � <br /> , SJr✓ <br /> G�3 <br /> W <br /> � , <br /> � — <br /> zzc.� <br /> 2 , <br /> � <br /> � - -- � -- ��o <br /> �� <br /> � �a ' <br /> � - --- ---------��-� -- - -- <br /> � <br /> � �'' �� l�� <br /> , <br /> _ ��' _ <br /> i G-`s� �� <br />, a�9;,Y� <br /> P�` <br /> I I DRIVEWAY SECTION �� Q� (((``` � The undercigned owner hereby ayrees to hoid and <br />� I NO SCALE ` ��_�JJJ sava harmless ihe City o(Everett from any and all <br /> � � -- --- - -� � claims tor damages that may arise because of installa� , <br /> tion and maintenance of the improvement hereto <br />' II � �-�P a lied for and turther a rees to remove same upon <br /> PP 9 <br /> � 4 30';,�, � �.3o�� � no ice irom the Cit and to replace,public propeny <br /> I da ged therehy 1 �-��, � <br /> .J <br /> $igna �e of Applicant��- <br /> 9� , o ���•,�,�•,�,:.�. �.�� <br /> COPY OF THIS APPUCATION TU T Address � <br /> BE POSTED ON JODSITE. I �•;_,'j - j7�O <br /> Telephone IJumber <br /> ChLL GlJCiIN[C(iING DEPT. 259�8811 II //�d$/�S <br /> ��� <br /> 24 HOUII; D.LC-Of7C QON;TRUf,TIRf:'�� Date� <br /> -- </. =„J ,"/�„t <br /> I CHECK LIST Fee � <br /> Water Valve Dept. Approvals <br /> Drainage <br /> Curb&Gutter � Engineers _ <br /> � Sidewalk Water <br /> C, i � <br /> Street�„i�`_'���._ _ <br /> Communications���--�-�--•-� - -�'%- <br /> � � Inspector'sSignature Tra(fic�� '�f/.7�_3��s� <br /> I .�-�E-�. 4TTJ�CXE�z� Planning . <br /> Nlf��b <br /> ' , ete <br /> Remarks <br /> �� Note: Original to Customer <br /> , , �oPY,o F��e 10335 <br /> ' 1 Copy to Irspector Approved by <br /> ',h Date Approved � <br /> � <br />