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. <br /> APPLICATION FOR RIGHT-OF•WAY USE PERMIT �� <br /> � �"�`�" 10382 ' <br /> .� e <br /> � CITI' ENGINEERS � � � � <br /> EVERETT, WASHINGTON PERtJIIT N0. � <br /> The Undcrsic�ned � _ �� <br /> Hereby applies for permission to � . <br /> At the follnNing locatioa � � �� � � <br /> --� � � <br /> SKE iCH �' �� <br /> � ,.-.�. J''' I <br /> (Work to be done) � , <br /> � �' � <br /> �i � <br /> j <br /> � �T� <br /> / .� .� f� <br /> � :Z-.���� � � � �� , . �� <br /> ��l �'` `� �� � . <br /> � j � � � %) ,��� �� �\ li� � � ���i <br /> � ' ! `� � � � <br /> �� f / <br /> , 1 <br /> / � /� �`\' �. <br /> +G/ �, <br /> � `' � ' <br /> , : ��. <br /> �` � ; -�_�,.; . . . ,' , <br /> ,� ' � = N• ' .. i <br /> t. � _ �, � � <br /> j' \ i i <br /> � <br /> ..;, ; <br /> ' I <br /> . � <br /> 1 '�, — � <br /> I `'� �"'l <br /> ii ' � � <br /> • ; <br /> i� ' � - <br /> . ��<�;� .4 .,- ' <br /> � - _ . .�� //�., , i�,- �. !I <br /> % <br /> f �' � �/ � i <br /> r � <br /> ` ./r <br /> i / , � �,�'' . ::- <br /> . � �� - ' - , � , <br /> DRIvEWAY SECTION - � j � �. ' / The undersigned owner hereby agrees to hold and , <br /> NO sCaLE � � L'� ' save harmless the Ciry oi Everett from any and all <br /> r--- � -�---� � � ' claims for dama9es that may arise because of installa� <br /> tion and maintenance of the improvement here[o <br /> ?:" LIP <br /> - applied for and further agrees to remove same upon <br /> �30' I � .._______,�.,3��,.� no[ice irom the City and to replace puhlic properry <br /> -�"t'----� . <br /> . damaged thereby. . <br /> ,% � - (r_.. l. � : I <br /> Signature of Applicant ,=��r- .�'o J � <br /> � � Address � � / - �� <br /> COPY OF THIS APPLICATIO(J TO - � . � - <br /> BEPOSTEDONJOBSITE. . ' - '.� •% ':I `�% '' 1,�Hv_.. .� �•�DordU `''�:/��> �� <br /> Telephone Numbe; <br /> '�. Cf,1_L [NGINEERING DEPT. 259�6F;11 I� � ) -' Y: -7 i'�� �. <br /> -�^4 I�IOUFif. BEFORE CONSTRUCTIOIJI " Date � ' <br /> �. . . . - ---- - - --�--_. _ . ' <br /> CHECK LIST Fee � <br /> Waier valve Dept. Approvals <br /> Drainage <br /> Curb &Gutter Engineers <br /> Sidewalk 1Vater ' ' � <br /> � . „ <br /> '� !' f/5 `/ Street <br /> / ��/iJ � // �c��--� Communications - �J ' � f'�� � -� <br /> '�L'� �. v .� , <br /> InspecJaf s Signature _ Traffic_ •"�---� � -- , � /� ; . <br /> ,� Planning / �. � .�� / - <br /> l9— 77 ; i ,�. ; � �:- ::: .;;,�,� f`" <br /> , �- <br /> at� <r-;� <br /> Remarks � ,,�p��'�� _ � <br /> Note: Original•f&`Glistome r <br /> 1 CopY to File � (� � S( � . <br /> 1 Copy�to Inspector �� � Apprcrved by <br /> Da[e Approved <br />