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_ . l <br /> everett APPLICATION FOR RIGHT-OFWAY USE PERNIIT <br /> e 1D503 <br /> CITY ENGINEERS <br /> EVERETT, WqSHINGTON <br /> � PERMITNO. %( ' Z1:J <br /> � TheUndersigned�-� e�;�� j-5� �� : <br /> �. He:ebti• appties fur permission to C-. -- r . ,, T' ('.,,, � �- � <br /> _ L .J <br /> _._ / <br /> '�., At the following location_�7�� ? - // ; <br /> , �s_r ��. C � � L J,-_ /,�„/� C!��r t � ;t '� <br /> SKETCH <br /> '� (Work to be done) , <br /> i <br /> , , I <br /> i j � <br /> } F,..: Hyd�ev. [ 6ncalca�dE <br /> . Mddr�nd E MJk G/vd cde.a W7� <br /> � <br /> 4�.:1 l Cr�ta. � <br /> y/ k, F..,, i/� <br /> I I ' '� <br /> � � <br /> � � i � � � <br /> I I i l,` I <br /> � �Y. <br /> � .' I ,-' �, �Ic-.� ' ' <br /> i 1 � � ' <br /> � � . <br /> � I � � , �� , <br /> � 2S GUnvofe �w � <br /> , b c <br /> o � � o � rt p � <br /> ° � n ' A 00 . A , � <br /> � ' e � D. � ♦ .�{Q '. ° I <br /> � y ,� � i <br /> .� I <br /> � <br /> � � � <br /> � I ' <br /> � in� ' <br /> !1L <br /> C � <br /> f ` <br /> . DRIVF.WAv SEC710N The undersigned owner hereby agrees to hold and � <br /> ' � NO SCALE__— save harmless the City of Everett from any and all � <br /> � - � claims for damages that may arise because of installa• <br /> � ��P __� tion and maintenance of the improvement herero � <br /> r—�I 30" 3G I app�ir.d for and further agrees to remove same upon <br /> —� ,'�' notice from Ihe City and to replace public property <br /> i <br /> . damaged thereby, � <br /> ' _ Si��t�re of Applicant �� <br /> � COPY OF THIS APPUCATION TG � ( ° `f � � /��,� � <br /> 8E POSTED ON J0851TE. Addres T""�'a'—`� i <br /> �/1' /�-� 5`z�777 ,� 7�, <br /> CALL �NGINEFRING DEPT. '�5�J-Bf311 I Telephone umher <br /> 24 HOURS BEFORE CONS I RUCTION� --`�S� � �� 35� � <br /> Date �--- <br /> � CHECK UST - o� `�'- 7� „ <br /> Water Valve Fee � ' <br /> Drainage ' D�Ap vals I'�"k <br /> . Curb&(;utter � <br /> � Sidewalk ' Engineers � <br /> Water o a...,�eC ycersCf �$QQ. <br /> � Street � ' . , . <br /> �'--", <br /> inspector's Signature - Communications ', <br /> Traffic <br /> Planning -'d/i.�' <br /> at_6_e---_ Se���r N�'��nr Osa�i �-ei� <br /> i-. Remarks <br /> � Note: Original to Customer <br /> . 1CopytoFiie �0643 ' /� � '. <br /> , 1 Copy ro Inspecror APPro ed by i a J ' — <br /> ( � � �-�,r7 /.-/ Iv � c_� <br /> ll. -��_ _ <br /> Date'Approved ` ' � <br /> -r_-_, <br />