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APPUCATION FOR RIGHT-OF-WAY USE PERMIT <br /> everetl �O c C� <br />� e VJ <br />� <br />� CITV ENGINEERS � �� ��� <br />� EVERETT,WASHINGTON PERMIT NO. <br />' , The 4lndersigne_7 L%.J��, _�_ i:r �.� /�� �L � <br /> Herebyapplie�fmpermissionto ���n.t,,.: � /.S �f. ,�r�✓.�-��:-v-�.:7 __ <br /> Atthefollowinglceation ��3� T3���/c f=o.cs� � �r�- __ _ <br /> SKETCH ' <br /> (Work to be done) � <br /> , --'— — w ' � � <br /> � ,r�_� t 1 <br /> � <br /> {-=� � <br /> _ -- -- - k <br /> h � <br /> � _ <br /> A <br /> , ,, <br /> � <br /> � � „� � . _� ����� <br /> 3,a.u, r:�,�sc � �; � <br /> ,.,,:,,� , <br /> i � `� <br /> \ � <br /> \ 9 �i <br /> � M� � <br /> � � � <br /> � � � � <br /> � v <br /> \�'--� I <br /> \ _ .. -� � <br /> 1 ��i f : � <br /> ` <br /> �:.v` * <br /> __ / i <br /> � � �,� -��� <br /> _,,� %A �: t. �\ . <br /> I DRIVEWAv SEC710N The undr.rsigned owner hereby agrees to hold and ': <br /> - NO SCA�E 1 r. � save harmless the City of Everett from any and all <br /> � . �-- ----—� �`I f (�'�'� ���n � �'' S claims forb�mages that may arise because of installa- <br /> '. i" ��� �a �, t Fo' �.�"E ' f tion and maintenance of the improvement hereto � <br /> D applied for and further a rees to remove same u on <br /> � 3p" _ __. 30" �yCa t=/'�s� ✓s= , / e��✓•�� notice from the City and9to replace public prope+rty <br /> ', fd / ( , f y v���tP� G�� �� dama9ed thereby. ' <br /> �� / / �A �� p�a���� <br /> � ,�,�:.,. /�r�-� .. <br /> � COPY OF THIS APPLICATION TO ' �ress� /� �f� y�� p . <br /> ' BE POSTED ON JUBSITE '�. es'/!.u'll..C,('�7-D l�l/7'7 ' /�Z�-5' '. <br /> '�, CALL ENGiNEERING DEPT. 259-8�;1 I � � Telephone Number� }; 3 s- � <br /> �� <br /> ' ��i24 HOURS BEf-i_�;E CONSTRVCTION� Date /�= / _ �� n� � �a � ((.,� <br /> . __. _. _ __._ _._ . __..� Y � � <br /> � CHECK LIST Fee <br /> . Water Vaive Dept. A,oprOv815 <br /> Drainage '+ �9 / , � <br /> Curb&Gutter Engineersr�,��/,�i��ri_�_ �i./7p9 � � <br /> Sidewalk Water.<'����:-�.r� �..kL .,GeY.r� ��7 �� <br /> � Street E _ � / /v.�i�� <br /> __ Communications : '+���'r /'m-:t. /.g��-/� <br /> Inspector's Signature Traffic <br /> P12nning <br /> � _ <br /> ate . ..� i . ,.�,n .1 -�."�,=� �r� <br /> Remarks II <br /> Note: Onyinal to Customer L C '�. <br /> iCopytoFile l�f�'.)7 �'� <br /> 1 Copy to Inspector Approved by ��,, <br /> Date Approved <br /> i <br /> i <br />