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APPLICATION FOR RIGHT-OF-WAY USE PERMIT 11312 <br /> everetl <br /> , �e <br /> CITY ENGINEERS ' {i,Z � -7 <br /> EVERETT,WASHIfJGTON PERMIT N0. � / <br /> � _i <br /> r <br /> The Underoigned ' �-t_ � f"�� h t^-f __ <br /> / ' i ' / i <br /> Hereby applies for oermission to "a�� ;,� 1 +i,- � r :� o ,, ,. -, /f.;':��...v ;.. : � <br /> /" <br /> At the following location .�_7 .n�7 �t-. . � o�. � _. ... ... �-r.�� . . � <br /> � � I <br /> SKETCH I <br /> (Work to be done) � <br /> -.i <br /> �-,,T;: ,1,1 <br /> �.� �� .-J � . <br /> � 1 � � � �- .. , �. <br /> �`� � 1���1/� ' <br /> _.__. . _... __�_.,�..'C� %r.. . ___. !�t � _. . <br /> � '- _, � .. _ . . . �1/��ij�'�A ��tK'� <br /> --�--------- ��� L��.'.�L�J._�r� _ `-:�;--- � � �u.P..��I ` <br /> ,.'c, r 1 w1�1�c�,y�.P � <br /> � 'v �� f„���RC{!.C <br /> '` � `._: I ' �_.` � C <br /> � o.. �+ \: ��I Y __ _ . R . � � � � <br /> � �� � � � ., f <br /> � � � ti, � <br /> ��• �C� �•r� I ,• v \. ���t �> <br /> t4 6� r t c i- '�� I i <br /> � o �_ �� r � �', � `' , � y � <br /> " .e <br /> � : �.. �. L � � Z <br /> � -.�; -� �� -- <br /> , � <br /> ` c, �• � <br /> ���r'l� _ _.5._. �_... '-l� <br /> �' , ., R. <br /> f_ ��+,�ill�_._-..�_.\ . � �Ir,. '�t <br /> � " . , .7 ` y` i -..: i � <br /> `y � <br /> L.1-'_----..._--.._._ �i���L4[. .---- _. _.. . . . . ' � O <br /> Z <br /> `�s � ���` .�.� � <br /> . <br /> � <br /> �.�+..y-�- . .I . . ' ' � $ <br /> ___�,.�----�-�'--- -- � <br /> r� <br /> ` il i �. �^ <br /> � � `'� .�� ln�sfa ` �•i; - .,. <br /> I ' , <br /> �. _ �� ���s,�, �:,:�sr„ <br /> G �'• <br /> .� <br /> S <br /> �RIVEWAY SECTION The undersiqLned 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 /> �" L�P tion and maintenance of the improvement hereto <br /> applied for and further agrees to remove same upon <br /> r30" T T 3� notice from the City and to repiace public ryroperty <br /> damaged thereby:� � � <br /> �)� � .,.,.��,. <br /> Signatur— e of Applic� f ` "' / r <br /> COPY OF THIS APPLICATION TO <br /> Addre s i �. ��.... .. � /��.J. d �f <br /> BE POSTED ON JOBSITE. ?r-�- �/�- '�' — <br /> Teiephone Number <br /> CALL ENGINEERING DEPT. 259�8617 y _ � _ ) �/ <br /> 24 HOURS BEFORE CONSTRUCTION Date ' -� <br /> CHECK LIST Fee ' ., :� ' 1-• <br /> ; _ /`� ,.�1,�..� _ 3: 2,�.1 � . <br /> Water Valve � � <br /> Dept:ApprOVals �;+� <br /> Drainage � � <br /> Curb&Gutter Engineers <br /> Sidewalk Water <br /> o� Street <br /> ���n,�U��/ Commur.ications <br /> Inspector's5ignature ,! Traffic . . <br /> � S'i '7i Planning � <br /> ( <br /> ate <br /> Remarks <br /> 11312 <br /> � Approved by �� �:i �-- <br /> 4 ,� <br /> .� \ ,`/�(.� �,;' �t,��:-,.��.��_.:�i�i,�V /? . <br /> � Date Approved � j;� �' .,� 0 <br /> - � INSPECTOR'S COPY �� ,/ �U/7 �{` . <br /> r � <br />