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APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> evcrett <br /> e 1�1959 <br /> CITY ENGINEERS . ' <br /> EVERETT,WASHINGTON PERMIT N0. ' � <br /> TheUndersiyned ll,���, / �� � � /�" 1( <br /> � Hereby applies for permission to t�.= r /1�1 �/ ����. .. /� / . T/ti r ��/Ji- L"i//��T/ �� �/L/ � � <br /> ��f+ 7��/� / C � i / /=. t%,- r� P✓i) ��(' n'^S S j /1 i- i:r % %, /-_ � -/ _ _ � i <br /> � ^ i / 'i� ( L�7� /� � <br /> � A[the Tollov�ing location_ �' �� - �- V�- �• '- '" ' �= I <br /> T�� /- Cof' Aii' �� �' �- /����'��rSu �i -f--I-' Vi-i' - : I <br /> i � i ��._ <br /> '�. SKETCH � s /� 1 r �i•',C�: rT v;. i <br /> ' (Work to be done) � j � U�-� :� � <br /> 'I , � <br /> T � t.) ' <br /> �-- �11. 1��� — - ' i`-� i <br /> ,- <br /> � <br /> , p �� fi i <br /> ' �- N�F= ?'� �` � �/ _—__ ° �-' � <br /> v <br /> � ;�) _ p �� c N i�i:��:�S�h� � �.i��c �i i � <br /> � � / �� � •� � � <br /> o ,-,,, ,- :�� �, i-� � � � � � i <br /> � NG jo �=r ; rv r- v � ', ' I .� ; � <br /> t� ` � <br /> . � <br /> ti � <br /> ! � a � � 1 i <br /> �� <br /> ' — �� ��tt, ' � ���\ � <br /> ��••�I�I�, 1 <br /> 1�I� j- �' J � � <br /> -\ tJ I j , � � <br /> � �Q V <br /> / _ � 4 ' � `'� <br /> "' y � � r� C. � �1 � I <br /> �� � � ; <br /> ,� �� i ,' � ' � ' <br /> � � <br /> , i � <br /> Li �� ; ;,�, ; r, � i: : / `, `y� <br /> � �� � ?J - °d�J � y <br /> i •'}/.Gn/G /�.a,�i'�Sc:,✓ ��v '�.:..iG � . - <<.- - -- , � � <br /> C , \ <br /> yt �� ��/ � ! ✓,✓c �CNt � [ � _ � I <br /> � ��f .. •' - - - +'�� � ' r _ S/�f ���/f /�Ii. ��1(i h �: T I �', <br /> � j I ��1 1 v i- _ � � �J I _ '. <br /> � <br /> _ ) <br /> ' �IIi�� �/ t'. I ��I�• r. <br /> _______ 1 <br /> r _ rT ,�Vr .�.. <br /> , DRIVEWAY SEC710N� /- �� '\ ��' � � The undersigned owner hereby agrees to hold and <br /> . No ScaLE save harmless the City of Everett from any and a�l <br /> �. � — � claims for damages that may arise because of install;�� <br /> �i I�� LIP lion and maintenance of the improvement hereto � <br /> i applied for and further agrees to remove same upon ' <br /> 30" 30" I notice from the City and to rG lace pubiic properry <br /> ��� ---- �-�'1 R , <br /> dam� h e . � �_/1 L�/ <br /> 0 7 �� <br /> � Signaw ' A � 'can� _ - .. <br /> ' - �/ = ' - �7 <br /> COPYOfTHISAPPLICA�lONiO Address - Y / �/,��` ;' <br /> � BE POSTED ON JOBSITE. �'-' I��-�1 [:� � �~ �(I/� �N ., <br /> � Telephane Number �.. � �� <br /> CALL ENGWEERING DEPT. 259-8871 —_� � ,.� �� �'( //, �!`� ` ! <br /> ?4 HOUI15 6EFORF CONSTRUCTION Dale � <br /> _�_. . _ . _ ._. .-- -. . .__. : / ; /, .. . <br /> � CHECK LIST Fee � <br /> Wacer Valve Dept. Approvals � <br /> Drainage ;� <br /> � Curb&Gutter Engineers ' � I <br /> Sidewaik ' ! <br /> Water � <br /> Street <br /> _ Communicetions � I <br /> I nsneolor's Signa W re <br /> Traffic <br /> I <br /> � � Planning ! <br /> � �ate - I <br /> ' — i <br /> , Remarks <br /> Note: Original to Customer <br /> � 1CopytoFile '�O('�59 <br /> 1 Copy to Inspector Approved by <br /> Date Approved <br />