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- _ --- <br /> /• everett APPLICATION FOR RIGNT-OF-WAY USE r'ERMIT ,�122 � <br /> � �irn� � � . <br /> � Cl7Y ENGINEERS <br /> [VERETT, WASHINGTON PERMITPJO._�7E1 �/2� <br /> fhe Undersigned�Q�J�� �v SC 1 IF� E(2 4� <br /> k^�_, f�oc_�,2 c. A�i-�,�nu v <br /> Hereby applies for permission to �'.O AI��g_V c j '��� ��p � �a�/ <br /> At the fol:owing location �_ *_� F � �.r <br /> SKETCH , Q / ���/� <br /> (Work to be done) <br /> `�JSr <br /> `" t � <br /> � /�l <br /> I <br /> � �� �o I <br /> �� .�J\ <br /> � � � <br /> - - -- 5 k1 /7 '/ <br /> �ImS S/�✓ t„l� r�l1 � s c � dr��c <br /> F�2.�`� ��( �.v �. _ b� � s�9��9 <br /> DRIVEWAy SECiION The undersigned owner hereby ac�rees to hold and <br /> ,F� NO SCALE save harmless the City of Evere[t from any and al� <br /> r�I --- � claims for damages that may arise because of installa- <br /> {i" L�P tion and maintenance of the improvement hereto <br /> �30",4, _ 30" applied for and further agrees to remove same upon <br /> �ioti the City and�tcr place public property <br /> amag ther�/ ���- <br /> 'f C�,w�-�jcr� <br /> Sig � ur of Applican[ <br /> . D. ,�dEi� Zo6 <br /> COr'Y OF THIS APPLICATION TO l Address <br /> ' BE POSTED ON JCaSITE. ,�SJ-0�71 ' <br /> I C.�LI EiJGINEERIDIG DEPT. 259-8817I TMepho e Nur�ber <br /> S t 7� <br /> 2�I HOUflS 3EFORE CONSTHUCTION Date <br /> L'-____ <br /> CHECK LIST <br /> �Vatar Valve Fee <br /> Draina�e Dept. Approvals <br /> Curb &Guiter Engineers <br /> Sidewalk <br /> Water <br /> Street <br /> Inspecmr's Signature Communications <br /> Traffic <br /> . . Planning <br /> —Date <br /> Remarks - <br /> :L12?.. 1 <br /> Approved by <br /> CU57oME�e Datellporoved <br /> 3 <br />