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APPIICATION FOR RIGHT-OFWAY USE PERMIT 7 -7 (' <br /> � -� evcretl y l,�Z I O I <br /> � <br /> CITYENGINEERS pEflMITNO. ��_��v �'� <br /> EVERC•TT,WASHINGTON <br /> The Undersigned �17 A11 f�.���i-�r • <br /> Herebyappliesforpermissionto G4NST2UC� /a 3a' A- 35' AN� �1N ll '�AD�IT/ON) <br /> GONC/EETE ��?/VELV/� `/S qNL7 LA/11DSC'/-�N,E ON A-�-In/ <br /> At the following location 2���v �v�IGC/T AU� � <br /> SKETCH ( I <br /> (Work to be done) . <br /> I <br /> � <br /> I F..X/;T.�N<� P/-]!�/NG T.l.LLE ,E.M[lVFD TIiE/ ` � I <br /> • �/-1 LLFY TQ C. I��1 VED Fk'JM�/W TO �[�/7fl . � ; <br /> � �1�" '-• -- ll'ADDIT/tlN Ta EXIST/NG D,PIVEWHY ! <br /> �ALLEy i � <br /> /� �'a:e� 3 ! <br /> . \ � .._ ,' _ T . <br /> �"-', •^P�'���,. L�Q� ' �1 <br /> :t' <br /> � .�.3:.�. � . � <br /> � =�'� . --�--�EXIST/NG D�ln/ TD 6E REP'I�VE,O <br /> � � il,:%,• . ' <br /> �`�� � NEW CaNCKETE DkJUEW/aY <br /> � I ,j ; '' ' <br /> , � I 30 NEW CUNCRET� DRIUFWAY _ ' <br /> �ove rto„ - <br /> I> ' _ nt�:n��:��tl. NFIn/ L/aNl�SCNAING(TYP.� 3D. <br /> �I <br /> IJ <br /> � � � - - <br /> 5O� EX/ST/NG SIDEWHLI� TU��= R�N1UI/t0 !-�N,� ' <br /> I � i AVEP�TU 54�Pxf��ER `i Z�i��DIaRD�FR'ONl EVERETI' <br /> _y.._ N - �RO/�DI�V�' Y 8 ���sE s/x�. <br /> ORwEWav SEC7i0N lV� SCNLE The widersigned owner hereby agrees to hold and �i <br /> nl0 SCnL � save harmless the City of Everett from any and ali � <br /> . �--3/),3§0-�n�Y'----� claims for damages that may arise because of installa� �� <br /> � I" LIP tion and maintenance of tlie improvement hcreto <br /> appiicd for and further agrees to remove same upon � <br /> . �30'�_����,B�L�.#.3� notice from the Ciry and ro replace public property �� <br /> ��:.; � damared �er by. �� . <br /> J � �.�PA�__ <br /> Si�nature o plicant <br /> i?oRc�c 783 � ,,.�on�, �92��Z <br /> � COPY OF THIS APPLICATION TO � Address ' <br /> . BE POSTED ON JOBSITE. �+ )�PI � r � �. <br /> S� Telepho Number <br /> CALL ENGINEERING DEPT. 259�8811 1 O} -��-]s <br /> � za iiuurts �Erof�E corvsTrtuc�ioN� ��i � Dare ' T- 9�jz ��-- <br /> , 3B.ar� � 0'� / <br /> � CHECK LIST C��1�'1 Fee <br /> Water Vaive � ep A rovals <br /> Draina9e , .������ ', <br /> Curb&Gutter Engineer '� <br /> Sidewalk Water ! 9 � <br /> Street XiC7 �,.r..�{ I <br /> ��� _-.e�(P i/. �t - � <br /> Ccmmunicatians 9 I <br /> Inspector'sSigna[ure � Trafiic �J �) � � <br /> �+��i <br /> Planning' l ' � 'Jf � I <br /> ate /�0/G • , ��d•�� / <br /> �jo��� �u+ir�.�w <br /> Remarks /�"/� , <br /> Notc: Original to Customr.r � <br /> , conv « F�i� 1 (?�� /� J -7 <br /> 1 Cnpy in Ins�ier.tor � Appro% ��.1-.;. ' r7`r.lt.l(/l.-GC�. / �//� <br /> —�� V GYf <br /> DatE Approv d <br />