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� ) �;` i�.. :U � . . <br /> APPLICATION FOR RI(GHT-OF•WAY USE PERMI7 � 112�J <br /> cvcretl� <br /> . • '� <br /> CI7'Y ENGINhER' <br /> EVEHeTT, '.'J:,anINGI'ON PERMIT NO. Z �S�'� C:�___ <br /> Thu Undc�signed ��i�� .. v.�L�� '.::�.�_" ----- �-�—�--- -- — ---- --- <br /> Hereby applies for permission to,�n��Tru_' -7 A � .S_� 5� � ,�l�n/ __._ <br /> At the following location— ----_$�.Q��./"'�$�'Q� U � - -_----._ -_------- <br /> ----1�----------------------- <br /> SKETCH i -- --------------- <br /> (Work to be done) <br /> i <br /> � <br /> --.... . .. �.,.._, . . . _ __------- - . _ I _.. <br /> � <br /> /� <br /> % 4� <br /> // "Sz I -_ _ �_ <br /> I / ,..--�� <br /> I/ j f <br /> � ' �° <br /> <t o z d ' -- <br /> L �� (v 9 ' ------L_ �— _J <br /> ^ " — _-��G�e1El�--- — � <br /> _ � <br /> � 12 c)' ---- ---------.__.._._._ .- - <br /> w <br /> l <br /> �l _ <br /> r- ,:,� <br /> ; ,y�-r<<_J , -, �.�" �`<<. << ., • - <br /> , <br /> <_ <br /> �.,; �� ; �, r�„�y�. �f��c" � <br /> � / � � � '%- . .. . <br /> , �(. <br /> DRivEwAY SECiION The undersipned owner he�ehy a9rees to hold and <br /> NO SCALE s�rve harm�ess the Ciry of Everett fwm any ancl all <br /> t' -- -- �� �-'j claims for dama9es that may arise because of installa� <br /> C` � - ' [ion and maintenance of the improvement hereto <br /> ~ - ��"-��� _— _�� applied for an further agrees to removc same upon <br /> �, 70"� . �30" I no ' irom�e�ity and to replace pubtic property <br /> .� <br /> r�age ttrer b �, <br /> � ' ;��`�-� � L�����,� ,e.J <br /> Sign �e (Applicant <br /> -c�� E_1cr.l��id .r �z-�y.'�r� <br /> �COPY OF TIiIS APPLICATION TO A dress <br /> � 6E POSTED ON JOBSITE. `3`� ���y�� <br /> iCALL ENGINEERING DEPT.259-8811 Telephone Number <br /> �24 HOUHS OEFORE CONSTRUCTION Date <br /> �------- ��y <br /> CHECK LIST I Fee <br /> Water Valvn Dept. Approvals <br /> Drainagc <br /> Curb&Gutter Enginecrs _ __ <br /> Side�valk ' Water <br /> Street <br /> Communications <br /> Inspector's Signature Trattic <br /> Planning <br /> -ISatc---- <br /> Remarks ��� � C <br /> U <br /> Approved by <br /> / CUsi'OMaR Date Approved � <br />