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^ . _. .� -i''. � <br /> ' • APPLICATION FOR RIGHT-OF-WAY USE PERMIT � <br /> everen 1 O 7 8'� ; <br /> � I <br /> CITY ENGINEERS � � y I� <br /> �i EVERETT,WASHINGTON PERMIT NO. /� 'l`t - <br /> The Undersi gned L f� /�lOi7 '� yJ/7 '•YS il M I <br /> �I Hereby applies for permission to 1^'��"" `- A Z-3� ��'�r'�'��r l �'', <br /> � 1, <br /> At the following Iceation '7 7i) � FO ��S i \/iG��� � i <br /> � <br /> II SKETCH I <br /> (Work to be done) j <br /> SrJ% %r"i il'�G'f�/;i� �i <br /> I I <br /> II <br /> I I <br /> � <br /> i <br /> �i <br /> il <br /> � <br /> I <br /> I � <br /> �I <br /> I � <br /> I II <br /> II <br /> { <br /> I I� <br /> i <br /> I � <br /> I i� <br /> I I <br /> DRIVEWAY SEC710N The undersigned owner hereby agrees to hold and <br /> NO SCALE save harmless the City of Everett from any and all <br /> �II� —� claims for damages that may arise because of installa• � <br /> I . � tion and maintenance of the improvement hereto 'I <br /> C�—+f' LIP applied frv and further agrees to remove same upon II <br /> i �3p�� I_30" I notice from the City and to replace public property I <br /> damage Y. <br /> �� I-C7r-G-�>t/ <br /> . 'Signa ure uf A pliran L � <br /> I ---- -- /OoL' Odr �. � f � 9 ��O 4- i <br /> COPY OF TNIS AFPUCl�TION TO Address �1 i <br /> '�. BE POSTED ON JOBSITF. ���-,�� / � <br /> Telephone Plumber 7�y <br /> �� � CALL ENGWEERING DEPT. 259�8811 �!� `� -,��- � ' <br /> '� 24 HOURS E3[FORE COhSTRUCII J .�Ct� Date �� <br /> ----- ----- �,-�-� �� // 5=�i ..� II <br /> I I .�� Fee <br /> CHECK LIST � <br /> ; Water Valv<_ O( �y7/ C�� � J Dept. Approvals I <br /> � Drainaue f r � ..��,� /Jp ''� <br /> � �).'� 1 -f:�rJ'� Engineers�..rL�(� /Y1li=/� <br /> . Curb &Gutter . ��, . 7l /� ,+ ;, <br /> �. Sidewalk ��r'" Water il/wril �� �%"�f�C�P.r�'�-l� i <br /> �� Stree�%:.�� - /�y��y I <br /> ' Communications I <br /> i Inspector'sSignature Traffic '�. <br /> �ii Planning_ ��, <br /> / <br /> �o. � , Gt-� ,�, , ,,, ,+-!_� <br /> j �ate <br /> I <br /> �� Hemarks � <br /> � Note: Orig�nal to Customer �O�O� ';� <br /> 1 Copy to File p Approved by � <br /> ' 1 Copy to Inspecmr <br /> _•__• Date Approved <br /> �-a <br />