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��«<n <br />� <br />CITY ENGINEERS <br />Eb'ERETT. WASHINGTON <br />APPLICATfON �FOR RIGHT-OF-LNAY USE PERMIT <br />Thc Undersigned '� r". ' �".'�-''� 'f � '�''Cl � _ � '�� <br />Hereby applies for permission to � ' /� ' " � J�� � � -v� � <br />i�,--:�-r`A.�' , il..,�.crt.--� � -��� -,i-~�- `G <br />At the following location ' ! .t ' ���%C C ',� - <br />SKETCH <br />IWork to be donc) -� <br />103i�� ' <br />��iy <br />PERPAIT NO. �_�- - <br />.� ;'✓S -. �C G <br />� � ,-��,-��E <br />_ "'__ ` 7sid/�i��-;-' �r� L//� / <br />_ ' <br />. �� � <br />; <br />�� �eo �. <br />� — — — —i � �Cl <br />= �•vs.--�<<A<=; _ -� ��i \ <br />U;�iE �' • , <br />i• <br />�yC ��, G-C f:�. .v�� I <br />r- ----- <br />� <br />bG'. .-- .-'..0 "�- � <br />�- ---� <br />�;�i5 � . C.-',1�G <br />,+'f Nr�.� C � <br />EX ` � �E %��,,-; c. <br />�' �Xc�ciz�0 �• <br />�¢' �v,=%rF/.� u��'/E <br />J /+' G � +`�Y. / f'_ •' 7' <br />L.--r.sF � <br />DRIVEWAY SECTION <br />NO SCALF <br />r-- ,�- � <br />`\ +�•� lIP <br />I 30'� __ _ _—._— _—'..�.: ��'1 <br />r— <br />ICOPY OP THIS APPLICATION TO II <br />BE POSTED ON JOBSITE. <br />� C�LL GNGINEERING DEPT. 259�8811 i <br />�. 7, HOURS E;EFORE CONSTRUCTION'� <br />CHF.CK LIST <br />Watar Valve <br />Draina�e <br />Curb & Gutter <br />Sidewalk <br />Inspec'or's Signature <br />-6ate <br />Remark � <br />-, ,-� - �.�� <br />_���,, . ) � � �'���T. <br />G�_f. .�,rLGG / <br />(.t/:%.u( U- !�inl✓r jTM <br />� The undersic�ned owner hereby agrees to hold and <br />.:� ��� ��J save harmless the City of Everett from any and all <br />�\`• ���, claims for damages that may arise because of installa� <br />:� tion and maintenance of the improvement herem <br />�' applied for and (urther agrees to remove same upon <br />��� �u� netice trom the City and to replace public property <br />damag thereby. <br />'!�' ; 4: � ��-,-�.�� � Q�.�.,�fi�� <br />., �,\ 1 ignatu of Applicant � <br />v <br />Ad�x �-%` <br />Telephone umber �Gt a3 /y�- � ,G� <br />��`�� � Dat�y'_ .P 1 4 qA20Q <br />-. �� I Fee S 7 <br />�C�fi�iV War�.. OrG �„" <br />l.�vy. CU rl�d 1.4tp '•��� � <br />�h <br />Not��: Original to Customer � - <br />1 Capy to Pile 10379 -� <br />I Co � to InSPector Approvld by � <br />{ Y �i ��5�� <br />. Datc Annroved <br />