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APPLICA'fION FOR RIGHT•OF•WAY USE PERMIT <br /> cVCretl <br /> � 10274 <br /> CITY ENGINEERS �� � I /I� <br /> CVEHETT,WASHINGTON PERMIT NO. � `�t <br /> The Undersigned �C ��n� ���� � / �.C�i(�Jl� <br /> Hereby applies lor�permission to �(�/�`�T�iJc�T ��/��� / ' ,(��(/VD <br /> �_1[l�� (y Q <br /> At the following location 3�['�t7' E�/2,�eTT vG � <br /> SKETCH <br /> � (Work to be done) � <br /> i � �� <br /> � P <br /> ; <br /> i <br /> � <br /> /VEW 42" HlGH WOOQEN FENCG <br /> EI/F�PE T T Av�. <br /> �XIST/NG S/DEW,9LK <br /> I <br /> i <br /> ' I�T /a° <br /> � . <br /> � C.��B <br /> ;, i <br /> NO SCALE <br /> DRrvEwar SECiION The undersigned owncr hereby agrces to hold and <br /> � ___ v0 SCaLE � �1 `� - . save harmless the Ciry of Everett trom any and all <br /> � - ciaims for damages that may arise because of installa- <br /> tion and maintenance of the improvement hereto <br /> applied for and further a9rees to remove same upon <br /> 4„30'„�_ _._______ _ __ I 30' I notice trom the Ciry and [o replaee public property <br /> .� <br /> I damaged [hereby. / � <br /> ! �y-!'F<—�' �l" i'r .1�,s"i� <br /> , , S g aWreof App �cant'`, <br /> I -- - -- -. __-- - ---- , 'l/ � : �� '. � S/L '�fii � <br /> �COPY OF THIS APPLICATION TO � ,1 n Address <br /> B[ POSTED ON JOBSI7E. �IVJ '`I � / � � '� <br /> �� Telephone Number <br /> � CALL [NGWEERWG DEPT. 25�8811 , . .... ./ � ��� <br /> :7 I�IOURS 0[FOR[ CONSTRUCTION� �� l Dat�D ��� <br /> J <br /> CHECK LIST � �� Fee <br /> Watnr Valve <br /> Drainage Dep . Approvals q� <br /> Curh&Gutter Engineer � *�� / ��s <br /> Sidevyalk � � <br /> � Water <br /> � � �� ( �' -/ T D�-�: ��IfCi � � ,Ot Street �� <br /> ' �- . __ _ _ ���//~�� Z �L/ Communicationya� .-�--�q� _ '�1- b'-7�� <br /> Inspector'sSignaWrc ,(�,�, p� S�N Traf(ic -'r� / � 7 <br /> - J � � <br /> ; - � � -, - QMd GaMf�4Gt+M Planni� <br /> . � —I[.� f/Mf$ G f' . <br /> ate <br /> �'�/M • I/J$�J•RNd ��roU4, • <br /> / �Remarks �] / - <br /> Nate: Original to Customer n �N — <br /> 1 Copy to File 1 1.r 2 7 4 <br /> 7 Copy to Inspector Appro �{l ( <br /> - =— '"-`-. �. � `�y't 2�.lfi. q_�,���- <br /> n, , . � <br />