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• \ <br /> i \/ <br /> e'veretl �1PPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> e 10796 � <br /> ! CITY EN'dINEERS ' I <br /> , EVERETT, WASHINGTON PERMIT NO.� / - �D S I <br /> � , The Undersigned�',�,-76 <� G'r� � j <br /> Hereby applies for pertnission to U i �-„i n�, i,- ..,,� � / ' — F ,�,,.,� 23 �i � � � <br /> I <br /> i <br /> � At the following location S$�� h,�rr r l� <br /> i Vi/r��/ - �A u e� i?o!3 /N c 3/ F1[�fl�Es ic.- <br /> r F�a�, <br /> � SKETCH <br /> I (Work to be done) <br /> I <br /> / <br /> S 7/(_ <br /> i I <br /> � <br /> I ` � <br /> � :� <br /> � � <br /> � ''��1. � I <br /> � `�p � �. I <br /> I Wy � � <br /> I � <br /> I ti oT ��o � i <br /> I .5' G v,��� <br /> / _ y � � <br /> � � <br /> +� > I <br /> �=Yu= � <br /> � <br /> \ iU i ' <br /> , <br /> I \L I <br /> l� � I <br /> I � N <br /> i � <br /> � v � I <br /> ,� i <br /> 3 i <br /> � <br /> DRIVEWAv 5EC710N he unde signed owner hereby agrees to hold and � <br /> , NO ScaLE save harmless the City of Everc[[from any and all <br /> r----- � claims for damages that may arise because of insta;la� I <br /> i i" UP � , tion and maintenance of the improvement hereto ! <br /> � 30"T 30�� applied fo and urt���r agrees to remove same upon i <br /> I �n�otic���{ Ci��replace public property <br /> i <br /> I i <br /> I � i <br /> Si mre of Appl'Gant � <br /> I JOnJ �O ' �" Si I <br /> ; COPY OF THIS APPLICATION TO AQdress � <br /> i �E POSTED Ot. JOBSITE. �NO r16,^�1 S�I , w.v , � <br /> CALL ENGI�IEERING DEPT.259-8811 Telephone Number I <br /> ��Cn� -�I a' i 1 i <br /> 24 HOURS (3EFORE CONSTRUCTION Da[e 1 <br /> CHECKLIST zZ �'1��`��"71 I <br /> ' Water Valve Fee 3 �,� �� / I <br /> Drainaqe Vept. Ap�ovals` �� j <br /> i <br /> �� Curb&Gutter Engineers I <br /> Sidewalk <br /> ' Water � <br /> � Street,�[���y� � <br /> i <br /> Communications � <br /> �� Inspector's Signature ; <br /> Treffic <br /> ��, Planning j <br /> ate — I <br /> � <br /> � Remarks � - ----�j <br /> � <br /> i <br /> i Note: Original to Customer ��' � i <br /> i1 Copy to Fiie � �7(�C . I � <br /> 1 Copy to Inspector V _ I I <br /> Approved by � <br /> i -.-_ <br /> Dz;e Approved � I <br />