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' .,N � <br /> APPLICATION FOft RIGHT•OF-WAY USE PERMIT <br /> evcretl --- <br /> . - .. -- 1�569 <br /> � <br /> WO ��o <br /> CITY ENGINEERS � - <br /> ' EVERETT, WASHINGTON � . PERMIT N0. 76 - i F i <br /> The Undersigned C � C T C% � p r7 / ,��i n n n i i-, n C �r7 / C r- <br /> � Hereby applies for permis5ion to f c c� C � � i n. G . � <br /> On � OUPr' C ��. IZ- L- l.</, . <br /> r <br /> At the following location -' -" �/��/� - - .. � �� �:/., <br /> SKETCH � <br /> (Work [o be done) � � . <br /> ,._ �., <br /> , - - . � ---� . �� . <br /> ' Lnnc�in� r <br /> ' �1 -� i---� � <br /> ', - , U , I , I� <br /> C I <br /> 0 <br /> I U <br /> � ��u <br /> � �r <br /> • � <br /> AL PINC= cn � • � z� e ` <br /> � � <br /> CAFETERIA 'b • � o "�' <br /> , i- � �' �' <br /> � � 8 ui �d�ny U) i � .. <br /> li e I <br /> I I <br /> � <br /> ��:� � ! <br /> I � <br /> , . io'�^3'-9.,_ I� . I <br /> �� � i, <br /> ; DRIVEWAY 5[C710N �pro �a rf� ��i ne ��P1���ersigned owner hereby agrees to hold and I� <br /> , NO 5C4LE save narmless the City of Everett from any and all I <br /> '� f' � claims tor damages that may arise becaase of installa� �' <br /> �� i I" LIP �� tion and maintenance of the improvement hereto � <br /> �fCl\NIl b i <br /> `� applied for and further a9rces to remove same upon �i <br /> I 30'�----- - 3O �`-�1��74 Y P p Pert i , <br /> r— I - �—� �� da/m}a,g�e�d h, tf`�v it and .4,N5 'e// ub ic g�� ' . <br /> ' � / � /Y k" <br /> � � S�atureof�fpll� ( ����� ,' <br /> y� ?r F,�.��• ic� Y <br /> COPY OF THIS APPLICATUN TO� ' Ad ress I, <br /> BE POSTED ON JOdSITE. 1 � (��_L�cJ 3 ' <br /> � CAl L [NGINEERING DEPT. 259�£3811 Telephone Number I <br /> � �? 7�7 G � <br /> 24 I�{Ol.RS 6[FORE CONSTRU(:T.l'JN Date� �� <br /> _. _. __ - � --- ---... ... . __ . <br /> rCHECK LIST , Fee <br /> Wator Valve De t. A r v I <br /> Drainage , 1 <br /> 5f%� <br /> Curb&Gutter � " Enni t�h � (j� AA �n�� /�i� , <br /> Sidewalk <br /> Water <br /> Street <br /> Communicatidns � � <br /> - Inspeelor'sSi9nature Traftic j�L� `���� . 27 � <br /> Planninac lY�n-,-..., r r.-c� � / � <br /> , <br /> ate <br /> Remarks � �' <br /> Vote: Uriginal to Customer <br /> , , �o,�Y �a F��� 10 5 6 9 <br /> 1 Copy to Inspecmr Approved by <br /> � �- <br /> � Date pprove� � <br />