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APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> cfcrett <br /> � 10 34 0 �j��� �; <br /> 0 <br /> GTY ENGINEERS �� 7v ("/ <br /> EVERETT,WASHINGTON PERMITNO. G � <br /> TheUndersigned ����%���� �� �� �rU �l�l_li �7�� i� �����k L� �\ ,�I�iT� <br /> � Herebyappliesforpermissionto G�� Sti�� -�Cf?%��✓ ��l��`=' '�r-1.c _ �-,'-'"'- ��i.J <br /> / � <br /> � .✓F=�f'„�/. r^:� /_� S sC��✓/E� <br /> At the following location L�� •�-�- +�' -� � <br /> SKETCH <br /> (Work to be done) � <br /> r 5 r��. � r. <br /> � � -� <br /> � ; <br /> _�.,�—.��;;. :,vc�"� .�«__� • <br /> , <br /> _ Ib�• s�w:rc c �c .:E 2EP'�cE� <br /> � ,i <br /> i � <br /> � � ¢.".9� <br /> �e� =!N/ <br /> ^ �� I ! _ <br /> ! � � i���� I <br /> - 3 I <br /> , <br /> I 24-3 <br /> �, <br /> � <br /> v'�,, ;. <br /> }YI J TI,Uf.� - �._- - _ je�;i;:. - <br /> _ l/hl <br /> ;��� rrtR -�n-n ��ar:�i�-��� - <br /> ' � <br /> Ce; <br /> .� <br /> � <br /> ;,� ; <br /> ; � <br /> ORIVEWAY SECTiON The undersigned owner hereby agrees to hold and � <br /> NO SCaLE save harmiess the City of Everet[trom any and all <br /> � ��� �.�-"'I ciaims for damages that may arise because of installa� � <br /> ��� tion and maintenance ot the improvement hereto <br /> y,.�-} applicd for and further a9rees to remove same upon . <br /> �i--�--�_— -�- � —T��� notic�irom��Ciry and to replace public property <br /> dam�Pd'th eby. ,.ty�+, -?,�cK-'�.5� �. <br /> / ' <br /> .. .,�.e v �� <br /> � '�'1` �.✓n ,:� , _.� _�.- 1�' <br /> ���-i Signature o Appljca/p't <br /> � � --�—___. ._ ..-—---- �/•c - ' p �/tc-rui.',. <br /> COPY OF THIS APPL�CATION TO ddress <br /> � BE POSTED ON JOOSITE. <br /> + 7 I�y Telephone Number n� z` u � <br /> � CAIL F�:GINEEHING D[PT. 259-8811 �,�r��l l3� L�L! r � I. �� y � � <br /> � �:i i+our�s o�For�e corisrr,ucTiori oace <br /> . __ ___- _ I r..' I - 7J <br /> _' , <br /> CHECK LIST Fee <br /> Water Valve Dept. Approvals <br /> Drainage �� / <br /> Curb&Gut[er Engineers C� � j� <br /> Sidewalk <br /> Water /:<��-�t ✓� <br /> � ; 1 Sveet���� <br /> �w' 1�".c,v' Communications�l-' '�' �_"��' �+— <br /> Ins ector'sSig ature Traffic � �2 � 7� <br /> � � ' - <br /> Planning <br /> -Z-�r,� -=1 C<� <br /> -lSate <br /> ���//'�/�LJa;?�r� f��/� � �N�'.�A�C�iJ fj�/D <br /> Remarks ���J�� �� <br /> . Note: Original to Customer /�'�� <br /> t conv to F�i� 1 R��. n <br /> 1 Copy Io Ins�+ector AUProVe i <br /> - - . �y. i. /�?/ � <br /> U,�In l�l`P�ova�l � <br />