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APPLICATION FOR RIGHT OF-WAY USE PERh1!T <br />� cv.crvtt � �0 2 21 ' <br /> i <br /> e 7�/a� . <br />� CITY ENGINEERS PERMIT N0. <br /> EVERETT, WASHINGTON <br /> The Undersigned TNCI MAS L�-IINRENSUN �, <br /> , Herebyappliesforpermissionto CdNSTRUCT BULKN�F�1D A/VD STA/RS �N R- LI-W ',, <br /> i <br />� � AttYefollowinglocation 2 J25 i�n'�� ��� ��E��l�..� -��'�f� I <br /> � <br /> SKETCH , ' I <br /> (VJork to be done) ', <br /> , G\ i <br /> �I NEI�I CONCRETE � <br /> ' STAIRS (1�= DUr,2 � � <br /> ! 92 <br /> 4 RI SE!?S ST/al RS <br /> MUST LIAI/E RAi ) �ry 9G � <br /> � � <br /> I <br /> �25 \ ��_ <br /> 2 � � <br /> NEbJ CDIbCRETE �`E <br /> l3UL1<NE/-�D Y����"� FFNCE <br /> ON TOP e <br /> EXISTING SIDE�✓LYK // / - OR' <br /> /j �,��� <br /> . `� F�RES� <br /> � DRIVEWAY SECTION � The undersigned owner hereby agrees to hold and � <br /> �. NO SCALE_ _ � �q�`� , save harmless the City of Everett from any and ail <br /> claims for damages lhat may arise because of installa� <br /> tion and maimenance of the improvemen[hereto . <br /> applied tor and further agrees to remove same upcn ', <br /> . _ _ _ _ "�f_ notice irom the Ciry and to replace public properry , <br /> �'r'—- damage �thereby, �:� <br /> �C��l ' _ _ <br /> .J• ,.�,., �_,� �c. :{���_T ��-.�-u-- <br /> Signature of Applicant <br /> — --- _ �1" � �'�.�.5" �-f�.r ..aii-;�,�.•iJ �'b,.,._i� � <br /> Address <br /> COPY OF TH1Sl�PPLICATION TO ��j _ '/ y 7 <br /> BE POSTED ON JOQSITE. Teleph ne Number <br /> G -I�-� r =� <br /> iCALL EhJGIf1E6RING DEPT. 259�f1f311 � "��� - ' , <br /> , ��1 Ii0UH5 E3EFORE CONSTRUC�iIOPJ� Date . a/o ��� <br /> �l <br /> CHECK LIST ,.�`' ({� / / Fee <br /> N"�� .' �"f?/'/G CoK�A�e�� �ept. Appr als <br /> Water Valve / ///''' � t <br /> Dreina9� ,rJ,2777'''222���te �y0��GCa./ieH �4Ll\ .�tt4 �— �0— � . <br /> //�r� � Jy��r�� Enginee s � <br /> Cur� &Gutter C�.� cT7�./ � $ r),� <br /> Sidewalk Water ¢_ /� f <br /> ��trCtS /55�1�' Street �i� �. <br /> �`���L$�7 Communications � - '�p - 6-`y �-'� <br /> Inspector'sSignature Traffic ' ��'� �' � ` <br /> Plannin` � �' � ' � / l ' <br /> ate <br /> Remarks <br /> � Note: Original to Customer <br /> , 1CopyroFile 10221 A °e Y� ' o,C �, �7y <br /> 1 Copy ta Inspector � <br /> � Oate App oved <br /> , <br />