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eGerett .. �PPLICATION FOFf RIGHT•OF-WAY USE PERMIT <br /> . j� - 10Q86 <br /> V <br /> CITY ENGINEERS ^ Qp '. <br /> EVERETT,WASHINGTON PERMIT N0. 7`t— � J C..> �� <br /> The Undersigned �Ul D ?/C/i/�(K./�/��(�/ <br /> , Herrby appiies forpermission to,�/1/VSr�rf_'T ,�3 � ,QCI�/,/,(�/T %��(.rl �� <br /> '� At the following location 3d� ���/r/y�—.t� ��i> � <br /> � SKETCH � '� <br /> , (Work to be done) � <br /> �— 50 � EAGE aF <br /> �PAYEMENT <br /> � <br /> �' I /ASPNA��' Ex-rR.UDeD CURf3 <br /> O z.s� /5� � <br /> 0� � � �A <br /> � � � i <br /> LOT ! <br /> ;� i 17 , <br /> ; �_r 305 � <br /> I ��/ ' <br /> I � / <br /> � �/ <br /> i <br /> ' 43Qci <br /> �' ORIVEW0.Y SEC710N The undersigned owner hereby agrees to hold and <br /> , No SCaLE save ham�less the Ciry of Everett from any and all �� <br /> �i � /�3 —� claims for damages that may ari;e because of installa• � <br /> , 11" LIP —� tion and maintenance of the improvement here[o <br /> ' 30�, 30., applied tor and further a�rees to remove same upon <br /> '� �--��------ ❑otice from the City and to i e�lace public property � <br /> aged there y. ' <br /> � <br /> � <br /> � ignatur of qpplicant — � <br /> , —... _.._._._. ._ _ . - --i � . <br /> COPY OF THIS APPLILL\Tlr�h! i0 Addres <br /> �� BE POSTED pN JUBSITE. I MN ��f�. �k+y�,j � <br /> �elephon �`�-- <br /> � CALL ENGINEERING L'�rPT. ?5�-6311 �lumber <br /> � n p ��.��/ �5s - i i � s <br /> . � 24 HOURS BEFORE CONSTRUCTIOM� f' �� Da[e ', <br /> �'�,�'�It- /��"a ��EQ� /� -�=?_s� <br /> CHECK LIST � ' <br /> Fee <br /> Water Valve <br /> Drainage Dept. Approvals � <br /> Curb&Gutter Engineers � . <br /> Sidewalk <br /> Water,� <br /> �J . S[reet � ' f I <br /> '���1�� Communicatio � ' � <br /> Inspector's Signature J — �' � �. <br /> Traffic �. � � ��, <br /> ��—Z� —7y Planning-; . � a9��,. <br /> ISate <br /> � /' <br /> �U%���I �F.. (iY�S � � - `7 `- � � �'L�j�1� / �� Iv� . •.�,'�F�-G . . , <br /> Remarks ' ��,r� tn ^ �'-� - ' ' �" <br /> �: � _ . � ! l.YI.''a' � :�r; .� ,;A__ �,i�, , ,, <br /> . . , ,. � ; � ! . <br /> Note: Original to Cus[omer � �:��i,'� i <br /> , �opY �o F��e � f�0 R 6 j � � '��� <br /> 1 Copy to Inspector � � Approved b � '� <br /> 4 <br /> DafiAp oved <br /> �rc, ��, �� <br />