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APPLICATION FOR RIGHT-OF-WAY USE f ERMIT <br /> everett ,� t,' ,�n,� <br /> � ' - <br /> UTYENGINEERS ��- ,� _�.�� <br /> EVERETT,WASHINGTON PERMiTNO. � <br /> i - <br /> � Thc Ondersigned '"�-`% � �_ � � � _ , <br /> •' :. .'_ ., ,_ . .. ,j �:� i � � '/ <br /> Herebyy� applies for permission [o - � i ./�� r ! � �{� ; f p 1.� � i__p <br /> i��) IC � lti : l�� �-1' � ! �� l� �� U� ' i� llt_._� r i :�fJYI,IJI;Ll1 � <br /> � _ <br /> At the following loca[ion �i f�= �f t1 ;_ /�:- C I i .� : � �v � 1 i�;". . <br /> � ' T i/� /�i ! ; <br /> SKETCH � <br /> (Work to be done) � <br /> i! <br /> /�L i £ '/ . <br /> �+ : <br /> �: <br /> T <br /> � i <br /> f� <br /> �r',,i DUPL� X <br /> � '' C� 72 �=�' fl&.8 , <br /> , I <br /> a �I ,' <br /> �.. j <br /> �hi � r����; - : ��; �-, . �rurr.� , � <br /> ' Z', Nt�'�(i C U�IC. U/111 � <br /> ,vv s'c ��� � � <br /> _-�;--� <br /> ' � � �----- , � , <br /> �;�\� :\,, <br /> --� R�'�� ? �'- .�` � � <br /> � !\ � . -- ^ _�---- - = I <br /> I ----- --- - C�... -- — <br /> � mni> >� � t,i �v�. � , 1�,� �� �� <br /> �J y <br /> CRIVEWAY SECTION The undeiSigned owner hereby agrees to hold and <br /> , NO SCALE save harmless the City of Everett from any and all <br /> ' �-- /.}� -----"�-- � claims tor damages that may arise because of installa� <br /> �" L�P � [ion ard maintenance of the improvemen[hereto <br /> applied for and further agrees to remove same upon <br /> ' 30�- ---1��—+4+3� noj�om�the Ciry and m replace public property <br /> d/�dm� ag t(ere� . <br /> I� + �1 { 6fgnatuFA bff pplic/a-n7t <br /> 1/J+�l��. L� i LIJi� ;�1. ��V �/ � �Vh � �. <br /> COPY OF 'fHIS APPLICATION TO -7 d ress , / <br /> . BE POSTED ON JOBSITE. �Q � r - 7� � S� �JrS�2 7 ; <br /> I CALL ENGINEERING DEPT. 259�^ii i 1 � Tel�pli��PJum�er 2 � �,. <br /> i J- C <br /> . �?4 HOURS �EFORE CONSTRUCTIOid��, Date �' ' <br /> CHECKLIST . . . . . . FQ----� ''� - �l, /!�'''�Yt� <br /> Wacer Valve �eE t. Approvals <br /> Draina9e ;1 ��; ( <br /> Curb& Gutter - � Engine s ����f����-"t- �- - � <br /> Sidewalk <br /> Wate / i <br /> -� , Strcet � ��-� � <br /> i� <br /> � �� ��'��� � Communications/ ,�. _ 4- !O- F'7-+ <br /> Inspe� 's Signature Trat(ic �I� � � � .� � �: � <br /> 1 � � S .. � � Planning / `v , 11_.. <br /> Daie <br /> Remarks — <br /> No�e: Original to Customer n <br /> 1 Copy to File ��3lJ 1 � <br /> 7 Copy to Inspector Approved y' � � <br /> f ii�. �iiCa!GcC�ti�i�- ( 7� <br /> - f � <br /> oate npprovr.d � <br />