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f <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> CVCfe" 10 4 6 5 � ' <br /> �� e ��� �� <br /> � CITY ENGINEERS < � <br /> EVERETT,WASHINGTON PERMI'f N0. 7 E- — I o C <br /> . The Undersigned D�.i�rl S l� P �' C r . <br /> ! Herebyappliesforpermissionto Gon �trr� ct As�l� � �f y� ro„ r�Ftr ���ui 2 " ' �-i.�l� <br /> on C ' f . R /, i <br /> At the foilowing locaiion s��OG F o w/ F r A .i E � <br /> i SKETCH <br /> (Work to be done) � <br /> I <br /> I C�nC. C..r6� �uYJ'f-r <br /> � , ��� �3 Y �/� <br /> I � . �, � � i� I <br /> � � �� <br /> , <br /> Wqlnr J� i ,T � S)� I <br /> .$E..r� _ �n•n, ./, � '� <br /> ' ir�.�.�a / I <br /> � -. �' �. <br /> ' '1, Ag��YG m j ij I <br /> ��� �V�.A� '� � � v �. <br /> ; L Iz � � <br /> a <br /> �p� ,g' ' <br /> �� <br /> � � <br /> , . n��. <br /> I� mtnt�' ' � � ' ' � hU, <br /> � ,� ,� <br /> ' ,�F�i<< � � � �� <br /> . iD � �,....c �� . <br /> � - - � <br /> i '1� M� ' , � ' ' , <br /> I �1 1 <br /> � 1 �� <br /> � � 1 <br /> i �/� � 1 <br /> � 1 <br /> � plo Scnle �'I <br /> �� :`�CL�.d.-f-.� ������v '� <br /> ' DRIVEWAV SEC710N � The undersigned owner hereby agrees to hold and �. <br /> � NO SCnLE save harmless the City of Everett from any and all <br /> F--- 2 5 ' �-—� claims for damages that may arise because of installa- � <br /> � \ +I'� LIP [ion and mainter,�nce of the improvement hereto <br /> applied for and furlher agrees to remove same upon , <br /> . 30'+_ T _,1.30" notice from thc City and to repI�dce public p�op rry <br /> 7 <br /> , dam�ed thereby. .L!y /CLzti't�. �J �� <br /> �� -��i.s� /L�.��y�dfJfJ./ ♦L.If�.. �, <br /> ,, �ignature of pplican[ � <br /> c�',�c . . 17ii ii���t�.c�a� 2d�.r�d' �.t+,c�F I <br /> COPY OF THIS APPLICATION TO � ' � � Address 9P�3¢ . <br /> � BE POSTED ON JOBSITE. 7�1� 7.�94 0, 77S >O /3 <br /> CALL ENGINEERING DEPT. 259-8811 I Teiephone Number <br /> :t�1 I10URS g[f-ORE COfiSTRUCTIOW�'I Date `/�i' <br /> i . ._ .. . _ . ��2 .�1t� / `�� ���f0 . <br /> CHECK LIST Fee <br /> Water Valve e I Ap r vals <br /> Orainage / ��' '6 <br /> Curb&Gutter Engin ers <br /> Sidewalk Water �,l)„r✓ ��.. .��(-...� p����-. <br /> Street i��- ; _� <br /> l <br /> Communications <br /> Inspect 's ig ature Traffic � � <br /> Plannin <br /> �l1 `Li- �� o _ -c i <br /> at�e <br /> Remarks <br /> Note: Original to Customer <br /> 1 Copy to File 10�6 5 -- <br /> 1 Copy to Inspector Approved by � <br /> z�>� <br /> Date Ap{ -oved <br /> -. <br />