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APPLICATION FOR RIGHT•OF-WAY USE PERMIT <br /> �"�`�" 10 63 8 <br /> � <br /> CITY FNGINEEFS <br /> EVERETT,WASHINGTON PERMITNO.= •'. ' � �`{ <br /> � The Undersigned I%-'�i.�' ( ''; � v' _ �. <br /> Hereby applies for permission to �i -7' - << �'t ' � � P �•/ <br /> Atthefollowinglocation �` '�.5o F��. Ci. _ ', <br /> SKETCH ` <br /> IWork to be dcne) ' <br /> I <br /> I <br /> I -_'_ __ __ __ _ . <br /> � <br /> SO '��J� FI.�, I <br /> a <br /> � cx�;��•�� <br /> A � �, .,,, r,��.t ;; ,,, <br /> } . <br /> � �DvJ�ha� �. d/on� �li;..��(.��:. <br /> 1 t ��� <br /> ,� . 1�i�J on FC.m 5 V .. <br /> '. � ' - r.'18�rt�a!h 7 S��/e � <br /> i yl,�� St. ' <br /> �;',aI/" � -� � <br /> � ,� „�, y � . <br /> � ,1�,I,ro�li.n�1 _��.+� �ii <br /> ' ` \ `. th r'u�m_ii� <<(�c� ^F i <br /> � ' � r` 1.�, s t� f� k • � � � <br /> � \ \ T� V./..7 �:✓ Fi�... r��..nu�yl <br /> d <br /> �„2,� F_ /rn _�t, � <br /> �. W"� 4! w W ��.�4�..�+ <br /> �_��-+----'1 + ,Jy...i f�.� <br /> �_ ��: , '`-I seM.e� <br /> �a � <br /> . . <br /> L'/ .., 5 t - —,_ ' <br /> �— i <br /> i <br /> il <br /> : DRIVEWAY $ECTION The undersic�ned owner here6y agrees to hold and <br /> �. NO SCaLE save harmless the Ciry of Everett from any and all �. <br /> �� �--� — -----`+ claims for damages that may arise because of instalia� I <br /> �„ ��P — tion and maintenance of the improvement here[o , <br /> apPlied (or and turther agrees to remove same upon <br /> 30'�_______ __+3C" I notic8�from the Ciry and to r�place pu6�ic property <br /> .� <br /> da a ed tliereby. <br /> I �.�—_�.��— ' <br /> Signat�e of AppTicant . ��, <br /> � � �.-�/(� /�: v.�nl. �-tiFl�ir. (y.e•/ � �, <br /> COPY OF THIS APPLICATIO� TO Address y <br /> 8E POSTED ON J08SITE. ��3 � 7 yd� � <br /> Teiephone Numbe <br /> � ; CAI_L ENGMEFRING DEF1�. 259�8811 // f � � 7� �, <br /> �� <br /> 2a :iu� iGS PEI ORE CONSTRUCTION Date � <br /> - - -- _---� —J�2 S' FO"c ��� � � �_��f'7�' <br /> CHECK LIST Fee <br /> Water Valve De t. A provals <br /> Drainage � � , �/_�— . <br /> Curb&Gurter Engineers ✓�- ' <br /> Sid�walk �• ) � �� �' <br /> Wa[ef�'��l ���1.. f i'S+.!J�^:c.;_%�)!{.r.'N/� � <br /> ' - •� ; .,� ., , — Street � �'` ,. / '��.��/ .n <br /> '"�"' ' � Communications ��-l�,�1��/--�,..'/�LT���7 ' <br /> Inspector's Signature Treffic <br /> Planning <br /> t <br /> _��_— .��..t_r -�-A ���cr,��.�,..,,,.,;�.� � <br /> , � <br /> Remarks � <br /> Note: Original [o Customer � <br /> � 1CopytoFile ��C38 . — <br /> 1 Copy to Inspector Approved by ; - . <br /> Date Approved <br />