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APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> everen - � r� r •- <br /> � 1 �� � e <br /> CITY ENGINEEAS -" <br /> Eb'ERETT,WASHINGTOP� PERMIT NU. �'-' ' — <br /> .. . _ . . . 7�-;.-, <br /> Thc Undersigned �'� ��/ 7/ /� ` <br /> iT._ :�ti � _ �� iJl'i �'�v t! ! �,. <br /> Hereoy applies for permission to�,[�Y.� � �� ���, � �� Lti � /- J �,�_, U�1�� <br /> At the folloK•ing location G TU� ��7 !�t�J �� � �� /' V'"' <br /> LOT l> �' �U <br /> SKETCH • r; �� � <br /> (Work to be done) <br /> � ----- � SO� i <br /> ' 1405 ` <br /> � � 13 � <br /> i j � � <br /> i I — � <br /> � <br /> � � <br /> �`:. <br /> � — - NFIII AS PEI. D/;;/ i <br /> t <br /> \ `, <br /> � �. <br /> �— — f/OlUr1 R D AV�. � �`' <br /> � I� 71NG E DCt OF PRV�N��/T k# <br /> .-. <br /> P.+ <br /> i <br /> �al� .' ' :'';, - i i- <br /> �°`�— -- I';�/�`�. (� !IT <br /> DRrvEWAv SECTiON �c undersigned owner hereby agrees to hold and <br /> NO SCALE I savz harmless the City of Everet[from any and all <br /> {. 7 y' --—� claims tor damages that may arise because of installa• <br /> i <br /> � +I�� LIP _� tio�. and maintenance of the improvement here[o <br /> app�,ied for and further agrees to remove sam�upon <br /> � � 30';.,��-; � �!.30���. �;�ice from the City and to replace public property <br /> � � c'�ma her �y. <br /> :i�: '9 ;4 <br /> ry ure f pP�ican <br /> �c� Q�LL�27G 7 l-�/f�L/o Gvil _ <br /> �'�.���r i;l h� � ., �. - _ �. �; i,. Address <br /> � BE POST[D ON JU6SITE. �5.3" �cS�/O <br /> Telep one Number <br /> G�.t I. FiJGIN[FfiING DEPT. 25�J-H�.�'. 1 {ier/j Cj �fr7i <br /> . , �'�_IUI;S cl_i-OHG CONSTRUCTiuPd� DdSe � �� <br /> -- -- /3. ���J y`r.a� 9 9/7S' <br /> CHECK LIST 1r 1 I Fee � <br /> �'Jater Valve i I� �'�'�,,". �v �. �!�r �1?- @ .f� QpWOV815 <br /> Drainagc ' . i�} " � Q ' 7J <br /> i Cwb&Gutter � Engineer ~� � <br /> �Sidewalk � . � � � <br /> Water � l <br /> Street��.- <br /> Communications=_� � �r - ��Z� ' ��� <br /> I ector's Signature Traific ' 8 Z v 7y <br /> / Planning <br /> -y — Z — `� l0 <br /> D:iie <br /> Remarks <br /> Notc: Original to Customer <br /> , c�nv c� r,�. 1 '7 r <br /> 1 Canv �u In•.i,�_r.tn� '� APP�oV by � � _ _' <br /> P.n ,,. �--t � _ �,_J;� , <br /> —�--- — �,-._— v_ _i•' <br /> n n , ��nr����.�.-i <br /> � <br />