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everett APPL(CATION FOR RIGHT-QF-Wq•{ USE PERMIT <br /> � i0377 �` ' '^L <br /> CITY ENGINEFHS �y 1 ! . <br /> EVERETT, WqSHINGTON , � � <br /> TheUndersigned `�. ' - _ _ PERMITNO. ' �� > -/� ' <br /> _-_— , ' i.' _ �� . -� .- ._ - ` —=__._ <br /> Hcreb a � � - ' �- �•' ' � � <br /> Y Pplies forpem�•,;(on to_ �y�/�T . <br /> r"�) .1 _- -- --_ <br /> -%-�'�'L% , , <br /> At the fuPoviing location � -��-_ � j�.5�;: . f �� � <br /> /�: i=� �;'; i_ �—_ <br /> SKE� ���"� - - <br /> (Wnrk to be done) <br /> ` "--'--- <br /> _.__. � <br /> � <br /> -- --- � <br /> __- .".' -- -_' ' - <br /> //�O": /� � - , . - _. � . - _ . <br /> — � <br /> ,..-------- ---- — - � I t <br /> /�Jb'� i , <br /> � '� <br /> ,. �_______� l i) <br /> ------_._____ __ - ...-----. i!J' :"�` ,- <br /> -���� �.'J i <br /> �; . :1 I � n;��_ ' <br /> i 1.; <br /> -- - - �,� <br /> ----- --------- ,.,. <br /> --- ----- ' <br /> � <br /> ii_ - �i� � � <br /> ��.. � � ; <br /> Q �l <br /> - - Q <br /> ----.--_— <br /> � � <br /> � � c�r✓sT. y�;;-�.�:;,;�� <br /> � -. <br /> DRIVEWAY SECTIJN � � <br /> � NO SCALE The undersigned ownen c�reby agrees to hold and <br /> � <br /> �� -- --—�-I save harmless [he Ciry of Everett frorn any and all <br /> � {__p_��p claims for damages that may arise because of installa� <br /> �,3o I tion and maintenance of the improvement hereto <br /> T-------._____ I 30" I applied for and further agrees to remove same upon <br /> '1" '1 <br /> notice_from the City and to replace public property <br /> darp'aged thereby, . <br /> � � /�'.i Siy ature of A� PPj�canl . . . <br /> i COPY OF TH ICATION TO � ��', �---- . <br /> 6E POSTED ON J r.�' Address �,:., � -, ���'`. . . <br /> OBSITE. ` '�;� — � ' �i <br /> �''�U- �NGINEERING DEPT. :?59�g811 j`� � � � � <br /> -,� �a,,, . Telephone Number / - / � �__ <br /> JRS �E�OGE CCfcSTF'JCTION; I' ;�� _ _ --�.- <br /> -- � . . - � ' � . Date , <br /> CHECi: LIST -� �-,-;� _. l. �� <br /> , Water Valve hee z�7f7� <br /> Drainage <br /> Cur6 &Gutter ���t. Approv I'�� <br /> Sidewalk Engineer � � <br /> / <br /> ; ' � I Water a.ti . /LPP -e �- �'81�. � <br /> �' � ` '' �� Street � r � <br /> , �--_�y�.. I��o� _,v _. _ , . . ' <br /> � In '_—_� � . <br /> tor'S Signature Communicai' ffi '� � � <br /> /' Traffic_ �'',,.�.r. - <br /> � `t '� .jc� - � - <br /> uate J� Planning / T- <br /> n <br /> c„�= / �'- - �P <br /> ' Remarks ---- - . 6 <br /> Note: Original to Customer <br /> 1 Copy to File S O�-y� <br /> i Capy m Inspat.�- � — <br /> Approved by �Oj�/ — <br /> - ' " :,/!'�..�� '� /� �C <br /> Date APProved � ----- <br /> _ �` <br /> . .��� ���� � *�� � � � . <br />