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APPLICATION FOR RIGHT-OF-WAY USE PERMiT <br /> evCrett - " �O q �� <br /> _ � 1 <br /> CITY ENGINEERS 75-55 <br /> - .. EVERETf,WASHINGTON PERMIT NO. <br /> TFe Undersigned RUfJERT G�E�3CL <br /> Hereby appliesforpermission to GONSTRUCT 29' 11 JPI�J/aLT D W A.�ID LRND SCAPE <br /> QN �4- a-� <br /> At the following locaticn �43/ .5�. BhGAD WAY <br /> SKETrta <br /> (NC�r'�. •::�a 3cne) <br /> \ EXIST/NG C�/ZB � ��� <br /> REI_�CATE TD IAqTCi-I � Na .�'FILC <br /> NE W C(�RB <br /> \ <br /> --� _./'��� <br /> � :O �Flza M <br /> �U1L-I� LANE Ta <br /> ' , CURB <br /> � NEW TYNE �G� � \�Io ,35 <br /> , I CURB <br /> /D31 \ ; <br /> � <br /> � <br /> -_ \ �S , <br /> � �� <br /> , � .� � �� <br /> A/Eh/ /-I�X�)LT <br /> �C� <br /> �, :�PIV�INAY I <br /> � <br /> C� <br /> ORIVEW/+Y SEC710N The undersiynsd owner hereby agrees to hold and �I <br /> NO SCALE save harmless the City of Everv[t from any and all � <br /> �,, r-- 2 C�� --� claims for damuges that may arise because of installa� '� <br /> � +I" LIP �� tion and maintenance o( [he improvemen[here[o � <br /> applied for and further agrees to remove same upon <br /> 30" ____��.___�„30"� notice irom the City and to replace public property �I <br /> ' dama ed�t y. �/�'�_ ���� i <br /> � �f'�.-16�� �� , (k�l ur�`'� <br /> ci!��l ; Signature ot Applicant � �� <br /> �i ��� � �/��_ v�-t�/.3���l„ ' <br /> COPY OF THIS APPLICATION TO Address ( �� �-LQ" <br /> I BE POSTED ON JOCtSITE. - � "�''" �� �� --- �. <br /> Telephon— e N mb�y � <br /> I CALL ENGINEERING DEPL 259�8B11 7� .__f �� 7S � <br /> � 'i :iUURS 6EFORE CONSTRUrTIOf��, V��� Dat�� ��� �' <br /> �. CHECK LIST . �. . �.. -� — - —� r'1� � Fee �� �� -�'�' <br /> �� Water Val��e LZBpt. ApproVals <br /> Drainage � ' � � <br /> Curb&Gutter Engineers �� ���� L�`=Z�^1 � � , <br /> Sidewalk � � � '� <br /> Watcr � — <br /> I � ��.� �I Street_�_ � > <br /> ��� ��:'� � -(/ , , <br /> �� /i }- Communications ��J- -�- 0.R-P _ <br /> Inspector'sSignature Traffic �J� � , <br /> � —� � Planning- � � 7�' <br /> �, � i_- �, i <br /> ate —' � <br /> . i; _ <br /> �� � j .. :'��^. i- =�C �i ' l' (/, <br /> Remar;:;� .� ' — <br /> Note: Criginal to Customer <br /> 1 Capy to File '� � � C �) � <br /> 1 Copy to Ir,spector � Approved�yq � ✓.� i <br /> _S/�l, c. ,.��� c.:.< <s ?_G�!f <br /> Date Approve � <br />