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, APPLICATION FOR RIGHT•OF-WAY USE PERMIT <br /> everett 1 �'`7 (Ir � <br /> , ' � • <br /> CITV cnGINEERS <br /> EVERETT.WASHINGTON PERMIT N0. ' � �� "� <br /> The Undersigned f '� � � ' %l���� � , <br /> Hereby applies for pertnission to_ � ��t �°/ � '�� ' / �� �''--_'� <br /> f` "f.^ � ,ri �;_ t:� ,i - ' n . ,'` !l � i <br /> ; ,; � ' ` , <br /> At the foilow�ng location_ "�� ' � -�� •i . - " - <br /> SKETCH <br /> (Work to be done) <br /> �,�.�_ ._.:, ..-- _ .. _ _., .—...-..�� _ ` <br /> 4T.s.J-y�. 4 0.^• — 1 <br /> '.d�✓�_.��.� O�[r.�. <br /> S <br /> I � <br /> —� BeV�"FIy loa��� --�- �I�Z�� i <br /> i <br /> � I <br /> , �. <br /> d"--51de Watk --- � , i`C'C��'�': � <br /> .�.,----�- <br /> ����� �� <br /> `--F� h �� �'Z� �Lj c��I F �:.;O� <br /> �� NG <br /> � <br /> �} FcNce — ctio� � �'�„1� <br /> I <br /> _;�j � <br /> ' I LrX�S'{'t�n� gw���c�in� <br /> L <br /> . �_... �o� -=---I <br /> ',` � 0. Sy st � <br /> �.. ` <br /> ORIVEWAY SECTION The undersigned owner hereby agrees to hold and <br /> NO SCALE save harmlr.st the City of Evemtt trom any and all <br /> h.--- --� claims for damages that may arise because of installa� <br /> �I" LIP -�� tion and maintenance of the improvemen[hereto <br /> applied tor and further agrees to mmove same upon <br /> ��'�.— -�-3i—��..� noiice from the City and to replace public properry <br /> � , dnmaged thernby. � <br /> 4 l;� <br /> i1 � ' <br /> , � ' Signature of Applicant� <br /> �� r _!(,� n � � �. � �1: `% i)�� <br /> COPY UF THIS APPLICATION TO Address � � ' <br /> �'� r�r_ •j -� � ; <br /> BE POSTED ON JOBSITE. Telephune Number `, <br /> CALL ENGIN[EfiING DEPT. 259�8811 � '� � �: "' <br /> 24 IiOURS BEFORE CONSTRUCTION Date <br /> CHECK I_ISTT, Fee ,� . . _� .. <br /> �Nacer vaive Dept. Approvals <br /> Drainage <br /> Curb E�Gutter Engineers <br /> Sidewalk Water <br /> � "� J <br /> � ' ���� i i ;� r � Street <br /> ( ;, . �� i l .� (_%�� C,mmunications <br /> �-�t-c�wa�.1 / i V <br /> Inspector'sSignature � �, ( �'u'� Traffic <br /> �, . ., � Planning <br /> �ate� <br /> Remarks <br /> 1124G <br /> . APProved hy ; , � � �` � <br /> � ' ����',. r ;i � <br /> iJ �i 0 <br /> , �--����`- ' � -� INSPEr70R'S COPY Date Approved _. <br /> �'�.�... _.._�-r .. _ - ., . . - .. . . - <br />