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- - APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> everen <br /> ,� 10292 <br /> CITY ENGINEERS ��= ��� <br /> EVERETT,WASHINGTON PERMIT N0. � <br /> The Undersigned �n� � �� �i � .:���T�'Jl: C� <br /> Hereby applies for permission to r�s�C T;\L.� L I � �J� � %�i F�)� _ ;;[;t L,�� 1��_�'�i..= <br /> '�'' v 'r_ lilhr'(l � 11��_' �,IliyLl: <br /> At the following location �_��� Q� �( �� ��.�n �—���� � � �L , 5 � � v � " rk�`:'_�'%�I� <br /> � Lr� r 1 ; - 3i.. lC 74-u <br /> SKETCH � � <br /> . (Work to be done) � <br /> � <br /> So ' i • <br /> z <br /> , ,� � <br /> � y . <br /> ' r <br /> }� �" <br /> � � . � <br /> CT i �. ; _: <br /> � =x►5 T , ^J G DlGU <br /> ; fXl�1"( Ul; i�' <br /> � cur��, �u rr��� � <br /> � �� r S!l)� JII�L K � <br /> • • • Q � <br /> __. �� �... � <br /> 4°x �„ ��sr ;�- cr� a�� F �Nc � <br /> 2 ' Lt�NI�'I D S�D�itI/�LK �� ; <br /> `� L 01�/1 Q/a (: 1� (=i Y r= . � i <br /> � _� I <br /> {, , <br /> „ <br /> �i� DRIVEWAv SECTION The undersigned owner hereby agrees to hold and I� <br /> 'i NO SCALE save harmless the Cily of Everett from any and all <br /> ' ��--...�-- ��'f'� claims for damages that may arise because of installa� <br /> i +�,-�g� "�Jl tion and maintenance of the improvemen[here[o . <br /> applied for and further agrees to remove same upon <br /> ', 30��—� ^ -� notice from the Ciry and to replace public property <br /> I dama`^ged��ere}ay. <br /> ' ' �3���'�� 1 <br /> �� �?�: , �atitxn fo <br /> Signatu f Applicant � <br /> �� /!/ i� <br /> � COPY OF THIS APPLICAT�ON TO I Ad����y�� <br /> � BE POSTEU ON JOBSITE. ��(1fG/�� <br /> Telep one Number ' <br /> CALLENGIN[ERINGDEPT. ?59-8817 . � �. �77 (I}N /y <br /> :'; Ii�.���IRSfiCFOR� CONSTRUCTII�N�, ���I� � � �_.)LI .�i Date � ' <br /> __ _ 9- ? `l - �5 —�1'(� ����. I <br /> CHECK LIST Fee , <br /> Water Valve � <br /> Drainage De t. Approvals <br /> ' Curb&Gutter En9ineers � � _ C� �L�� /� � <br /> Sidewalk Water �'� � � <br /> Strcet�"� <br /> Ccmmunicatior.s ' �'/ <CD �- ���-�i' <br /> Inspector's Sign�ture <br /> Tiaffic . � ' �• ��.-- <br /> / ' <br /> Planning � — � <br /> i <br /> at�e— <br /> Ramarks <br /> � Note: Original to Customer I'i <br /> iCopytoFile '� 0�92 � <br /> t Co to Ins ector Appf� �er� yf, � � <br /> PY P C.1:�v�q)!� . �'��I-/< i r� �Cr`, ID CC' J� . <br /> De Approved <br /> N <br />