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evcrclt <br />e r� <br />CITY ENGINEERS <br />EVERETT. WASHINGTON <br />APPLICATION FOR RIGHT•Of--WAY USE PERMIT <br />1(l49(���� <br />/ �. `�� ' <br />PERMITNO. G– � =— <br />� The Undersigned H t• �O ln .i o r n n �� <br />ii 5�or-G <br />; HerebyappliesTorpermissionm�ge-y.�---� ""~^�'�" 4fEC on_ F/�n;,�� hF�...� ��, <br />! � . � —T i <br />AI'a �v?t—cl�nr�,�^ 'i ✓,.�. .sc; _ r'/ai <br />, At the following loca[ion L S60 E v e r� � <br />SKETCH <br />(Work to be done) <br />c�'l <br />� <br />/ci .h,j;��-+:%% %�.���';� <br />f, <br />. DRIVEWAY SFCTION <br />N'OnSCALE <br />�.c� � —� <br />�I�� LIP � <br />I 30'�_ _ 1 30" <br />—�t' <br />�'c`y �,O :�� Gf�;vQS�f)iE:7 <br />rN r�Nc Fur��E <br />00 ��er �-�r� <br />�'c�,.__�� <br />�-�-rc, <br />.� c�� � "� �. <br />����i <br />COPY OF THIS APPLICATIOiJ TO <br />BE POSTED ON J06SITE. <br />' CA�L E�GINEERWG 7EPT. 259�8871 <br />�. 24 I-IOURS 6EFORE CONSTRUCTIONI <br />CHECK LIST /�/Q�" � <br />Water va�ve �/�/%J:�' /"�-J��y�G6"�I/NG <br />Draina9e S•T Tp /��pfj;/.J /N%U,�9,t/03r'ill�'� <br />Curb & Gutter Gi%� <br />�. Sidewalk �L%�Qh��7 p��A`���+✓/�_ <br />�y.7 <br />Inspector's Signature <br />Remarks /1� ��� /„�G <br />r] •–��r�9 <br />Note: Original to Customer �C; <br />, coPv co F�iz � <br />1 Copy to Inspec:or <br />P�� <br />The ��ndersigned owner herehy agrees to hald and <br />save harmless the City of Everett from any and all <br />claims for damages that may arise because of installa- <br />tion and maintenance of the improvement here[o <br />applied for and furthzr agrees to remove :aine upon <br />notice fsom the Ciry and to,rreplace public properry <br />� <br />. (�'� C�-�–Jn ' <br />Telephone Number <br />3 � y^ t-�aSS�' <br />Date <br />��' /� °� � S� 2 90 <br />Fee <br />0 <br />✓ <br />�9 DJ�r3p�•vE C�//Tr' <br />�,.,zNL1lC.i�iN6 4�S <br />(j�(��y a1r- /i6✓�-`/ �/%� <br />w`�� '�'`� `� �CR/r�J�APProved b ; . <br />�� �?i --�' �� �Z7� <br />Da et Ap rowd <br />� <br />