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• APPLICATION FOR RIGHT-OF-WAY US[ PERMIT <br /> everen <br /> e 10400., - <br /> /��/,,p,n <br /> � CITY ENGINEERS � 4 :�; /� <br /> EVERETT,WASHINGTON PERMITNO. �`'J /—� � <br /> � <br /> The Undersigned � /_rJ Y �'� %•- ��•C_'� . <br /> , Hereby applies for permission to CJNST/-���ICT 7�l.�/Q " � " -% G �"�;, -y. <br /> �','i1/.=_-r-' c C.. -'t=!HC_' .` , .. .�= rJif� P/R! .P-p-L(/ . <br /> '� At the following location 'i Lf-i� %`f�':.� ifG�, /./f �. <br /> SKETCH n <br /> (Work to be done� . �� <br /> C <br /> � <br /> b7 <br /> I /NS%�LL. �� �� 5Ea1�E�' /riv'c'- ° <br /> �l; <br /> i� �C`�'Yl/c� �,.-,✓_ �%Gii' G.' - . <br /> � '1 <br /> II �__ � -'\�• �� <br /> ; ^1 _ � tI <br /> , � — S,ONNLT � . <br /> i ':1 i. \ i <br /> I \ q � � <br /> � �S !i <br /> ��.s- � . Enisrin� <br /> � �Gc4fi;v0��7' - , c.: , . �� � <br /> .. _. .c:- �.� . <br /> �� ( <br /> �I � �. � <br /> � l• <br /> , 3�.' «�v.sr. .ti��y� �T :�%�.v �_ � , <br /> ! <br /> � <br /> i ��� <br /> i i�� <br /> � J� <br /> i <br /> ,� i <br /> I � <br /> � DRIVEWAY SECTION The undersigned owner hereby agrees to hold and ��� <br /> � NO SCA�E p � , save harmless the City of Everett from any and all <br /> � �'— Z5� ---�—� �-�J � !'�� claims for damages that may arise because of installa- <br /> � I" LIP �I���� '" tion and maintenance of the improvement here[o � <br /> i• <br /> 30'� __ I 30" (Pr a �� � applied for and turther agrees to remove same upon I <br /> ---•7- neA �� not'ce from the Cit and to replace public property <br /> � Ilj�������� da ag there � <br /> % <br /> . Signa[ure pp icant ; <br /> kJ � <br /> ', COPY OF THIS APPLICATION TO �i Address � �0,3 <br /> �� BE POSTED ON JOBSITE. , , � <br /> Telephone Number <br /> Cn�LENGWEERWGDEPT. 259�f381t �' �l � CG - -3y3(, <br /> � � <br /> � 12�i.HOURS BEFORE CONSTRUCTIOP� Date � <br /> �; � lM.c� 3 , � � <br /> CHECK LIST �� �- �� Fee D� J�1�k -��j . <br /> Water Valve - - � <br /> c}�j J�, De t. prova <br /> Drainage 3 <br /> Curb&Gutter Engine , <br /> Sidewalk Water P _ � �. (BSS� � <br /> Street - _� �. <br /> Communicati�n ' <br /> Inspector'sSignaWre Traffic �� '- `-y�-� �� � 7f <br /> � Planning .' ! �� i- � �, <br /> ate <br /> Remarks <br /> � Note: Original to Customer <br /> 1 Copy to File 1�Q,�O . <br /> � 1 Copy to Inspector Approved hy <br /> � <br /> P<r `��(o% <br /> Date Approved <br />