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.,� <br />^vorett <br />� �'- � � <br />.;17'r ENGINEEflS <br />, EVERETT, Wl�;'HINGTON <br />The Undersianed __ ;N , <br />Hereby app�ies for permission to <br />APPLICATION FOR RIGHT•OF-WAY USE PERMIT <br />At the ;ollowinq location �f Z, <br />SKETCH <br />jWork [o be done) <br />� �� <br />� <br />�L � <br />� ��� � 10444 <br />� �, ,f. <br />�j��✓ Y ��' PERMITNO. :�'-: .. , <br />Z�L_—� y5-/�f^ (l �[=jl �. �+ /()o �.��'g F�C'<>�%f � <br />u �� '1 <br />� L ��r--='--r�-�F=%.r r . ___— <br />'2C/ /CnnC.��w fi 2'20� f'.�n�. ��w <br />f-i D )' T <br />-- �� —' <br />AVE <br />� t� <br />- I - - -'- — — — — - - _- — �- - -- <br />--� - --- <br />i I_..,P,: :- w ��.C: �... � �, ;` % "i�� , , w. !-�—zs�—r, <br />_i '' l_ ' �'� �W l� _E_�_'Y�F^ __'_ � <br />� . __ '�__ , i —" .._ _ ..� . .,�..{��cc -._ -; � . <br />I /��� L —_ �'v� . � CC c .T,_ _ . ._ _�p_��.: .- <br />� i <br />� � � li �� l�:' 3'� - <br />-3ti I-. <br />�1 I I <br />� � }, � <br />N <br />F „ <br />ta� I II T <br />-0� „ <br />�� � - <br />,� �g� i�'� c� . <br />r i`I � <br />i I�r� -, • �_— <br />I _ <br />DRIVEWAY SECTION <br />NO SCq�s <br />L'—__.. _.�'^d0 _ ___—_" <br />I r-29' � <br />��--- �1" LIP � <br />1�30� � �— -�t'3���1 <br />COPY OF THIS APPL I�ATION TO � <br />BE POSTED ON JOB:iITE. <br />CALL ENGINEERING fiEPT. 259�8811 <br />24 HOURS 6EFORE CONSTRUCTION <br />CHECK LIST <br />WdIBf UI�VB <br />Drainagc <br />C b&G tt <br />L- <br />9'L � '. <br />.� <br />�:; <br />Allcy�-- - --- -. _-- -- rtti�_e,—'•_`—'- <br />)�Ic $onlr <br />a � <br />. :'1�.�(,.. <f:��.i%, <br />ur u er `V� �� <br />Sidewalk -� �� {�;�.5' S ,4'"% <br />� r '-� ,� %� ��• <br />� /�; ' ��:; <br />Inspector'sSignature , � <br />Note: Or iginal ro Customcr <br />, �o�,, �� F��� 10 4 4 4 <br />1 Copy to lirpector <br />The undersigned owner ne�-eby agrees to hold and <br />save harmless the City of Everet[ from any and aIl <br />claims for damages thut may arise because ot in,ta!la• <br />tion and maintenance of the improvement hereto <br />app�icd for and further ayrees to remove same upon <br />notice from the City and [o:epla�:e pubiic properry <br />damaged thereby. <br />�Llz+.s n--*- <br />ignature of Applicant � <br />1(i3,� f /i'�.4��� .[}��Z�.te✓dE 9go: <br />Ad� ss <br />�f5s- 4S'S'S� <br />Telephong Number <br />� � o'i�. � i rL— <br />Date fi - f— ----- <br />Water <br />PI <br />Appiuved by <br />f'aU� l�pprov�sl <br />Dept. Approvals <br />