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APPLICATION FOR RIGHT-OF-WAY USE PERMIT �1312 <br /> everett <br /> �. �e <br /> CITY ENGINEERS S�- -7 <br /> EVERETT,YVASHIIJGTON PERMIT NO. �v z U / <br /> `I// � .� <br /> The Undersigned ' �� ' -� 4� <br /> 's � V r .J !` l 7 C , �� � . <br /> Hereby applies for permission to . . ' '�� / <br /> ! • <br /> At the following location �:� � 7 ,I^_ . —. • --� ^ �'��' � <br /> � � � <br /> SKETCH � <br /> (Work to be done) . � <br /> ���;: lit�i <br /> .� � �"���J� i <br /> _y . Soe ��j��,,�i r;:� <br /> _ /.�_0'� 2.� . . �:Nt), � <br /> --- ------_. , r�,�,��,���.,, ����� <br /> ` ___ ---�_, _. _ . <br /> ---� __z3''��t�J�r�a ,_��, r�-:.---- �• � + v ,u,,�,�T'" <br /> I v�+. ��4� <br /> �... _.-�i �s���1_n c;�:�1 <br /> , , � <br /> s � .. . <br /> � <br /> 1 .� . . � ^, <br /> r- � \ �; = -- �s _ � ' � A <br /> o . v .� — h � <br /> � � h c� I ' D � •_ <br /> •� `., •�r� � . •�,`�t -. ,�� �n <br /> � 'x P `' �� 4., ( ,�`,� � Y- ;`;!i � f' <br /> ` r �; -r. _. . .. . ,:. ; <br /> � � � <br /> � `� , 1'` ~ ' � \` '.j <br /> ` � `� ��;�1'�I ._ 'i--• -ii R' <br /> � ��` ,� j i <br /> � �� y` <br /> �- -;'� � �� �� I c,� � <br /> I <br /> � :��.� ��. I � <br /> . ,. <br /> . <br /> ❑-- - <br /> __ _ _ . /_��y�_�� ._ . _. . _. i ` � <br /> r'� ; ,`� � <br /> . y, � <br /> , _ _i . <br /> __._ _--- __ <br /> , ._i - - - . � <br /> , _� <br /> t, ; k ,,� <br /> '1 C' ._ . � ''i'�JEa �� �,� Z <br /> �t'�"ii'.� �J� '� (�t <br /> V " \) I_ <br /> �3 i. L� .1. <br /> 1'1 I <br /> DRIVEWAY SECTION The undersigned owner hereby agrees to hold and <br /> NO SCALE save harmless the City of Everett from any and all <br /> � � � claims for damages that may arise because of installa- <br /> I" LIP " tion and maintenance of the improvement hereto <br /> applied for and further agrees to remove same upon <br /> 30" _ 30� no+.ice from the City and to replace public property <br /> damaged thereby-� / � <br /> �i �� •t- .., .t.,.i_,: <br /> � Signature of Ap ic8nf ' ` . ' <br /> �.r� ,. L , , . � i�;�`. � `i.?1 <br /> COPY OF THIS APPLICATION TO . Address � <br /> BE POSTED ON J�BSITE. Telephone Nu bcr ; � � '4 <br /> CALL ENGINEERING DEPT. 259�8811 y _ / _ j �� <br /> 24 HOURS BEFORE CONSTRUCTIO� Date � <br /> CHECK LIST Fee `�� � :� ��i� ,;:1.;, .�� f.:; Z7 �,� ,'- �J - <br /> Water Valve Dept. Approvals //7� <br /> Drainage <br /> Curb&Gutter Engineers <br /> Sidewalk Water <br /> � Street <br /> G <br /> G� � / Communications <br /> Ir.spector's Signature 4 Treffic <br /> �� �� Planniny <br /> ate <br /> Remarks <br /> 11312 --- �— <br /> ,,. . <br /> Approved by ;'� „` � *^'"� .. <br /> � ,` ' � � ` !.i. �_.I �i��tt l'. <br /> '� � --- .. <br /> � , 3 <br /> � Date Approved� ' � . <br /> :�,- -i -��.�. <br />