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everen � APPLICATION FOR RIGHI'-OF-WAY USE PERMIT <br /> ; e , 10481 �� � <br /> CITY ENGI�IEERS L'��� <br /> '�, EVEREIT,WASHINGTON PERMIT N0. 7 � - � / v I' <br /> iThe Ur�dersigned Jo n e-S�_,� � ,/� �h �� � � <br /> ��, Hereby applies for permission to c��.;=r u c f c 7 S ' .o c �1..,/i D� <br /> At the followino :xation ____�t/�. E C /e n n �. . <br /> � — <br /> I <br /> SKETCH _ , <br /> (Work ;o be done) I i <br /> n FwrSliny i��or�n Jrvn <br /> �-- � �� ,-� , <br /> �?4� ropai �qlet. <br /> j�'— :;(!�— (� � u6� _ ' <br /> I ILT4'D. � ' <br /> 1 �, I <br /> I � <br /> i � ` I'� <br /> 7 I� I <br /> � I�i�_'= <br /> � � i1��3 <br /> n � ;� ��_ � ' <br /> I ° wl ;;': " Fs�u S. <br /> i <br /> � G �e '��4:: <br /> iw ,� T ii <br /> �� �I \� � ��� <br /> � E.�;s1;og � � ,a � v � �Asf�i °/w. � . <br /> 12" Gu/v�rl �� \\ � <br /> „�::f, ��,�r -�.-__--- � � a�� �: —' <br /> W i:• L_ �� nlefe - E�i::im9 inlrl t<, be �„/ju;,Yed i <br /> � �M1 \ 1�, rr,d�, ,;nd reinfoic��l if ��dfhin �/w, ! <br /> � i . r � <br /> _ i I I� 'I _ \ { — _ <br /> I � ♦ <br /> � t �, �_Toj� u i �1IP1 IU•��, I i <br /> 1 I `/4 ' <br /> Ij <br /> � � <br /> � �� � <br /> I I <br /> i <br /> I � <br /> No �c-p/r i <br /> � �Cr;��..� <br /> DRIVEWAY SECTION ✓ /�� /�� � <br /> � The undersigned owner hereby agrees to hold and � <br /> NO SCALE save harmless the City of Evarett from any and all <br /> i �' Z S -� claims for damages that may arise because of installa- �� <br /> I �� i�° UP _ tion and maintenance of the improvement hereto I <br /> � I ,p�� 0, I applied for and further agrees to remove same upon � <br /> � � -�, -'1 notice from the City and to replace pubJJic properry <br /> d3rrmag�—e�c�i, eby^ � I <br /> � ._ .`___ �_. <br /> � "r �s �t�r f qpplicant � <br /> --- � � '- ° ✓/ .�- U L— � � v <br /> I COPY UF THIS APPLICAT�ON TO Address �� <br /> BE POiTED ON JOBSITE. 3 �� � �' � <br /> I CALL ENGINEERING DEPT. 25&887 7 j Telephone Number - � <br /> ' I24 f-IOL�RS BEFORE CUNSTRUCTION� Datc <br /> (-- - <br /> ; _—.—. .__._. — <br /> ICHECK UST --- F--A..,-r--� � �2 ,SC) - S�2 � <br /> Water Valve � <br /> Drainage Dept. Approvals <br /> � Curb&Gutter Engineers '"'S� � <br /> Sidewalk <br /> Watei lJ / / _4 d��o-('r�� <br /> SVeet �..=�' �� �, <br /> � Inspector'sSignature Communicati } '� <br /> � Traffic ` k>.'�; T. " � <br /> Zt / <br /> � Planninq��- � � <br /> jUa.� �f:E r� u " r 'Ni •- ^` 1L U�/YG(A< n rl I'�� � <br /> I <br /> Remarks ; <br /> , Note Original to Customer _ � <br /> � 1 Copy to File ,_O /1 O 1 �� <br /> ! 1 Copy to Inspcctor `�(7 1 ' / / <br /> Approved by � <br /> t� j � <br /> Date pproved ' <br /> �tii <br />