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• APPLICATION FOR RIGHT-OF-WAY USE PERMIT j <br /> everetl q O 3 1 4 � � <br /> e � f����,��,,.v �, <br /> CITY ENGiNEEAS <br /> ��, EVERETT,WASHINGTON <br /> PERMIT NO. �-� — /L4� <br /> ' TheUndersigned �� ����4 r�n�n��i�rr� i, <br /> Heroby applies for permission to �rJJ r �� `_; I D�� ll n L� � � �� �L �'�r� s�1�r� _ ; <br /> �� ,�PL1R1A[3L� ) ��:.. ,�llllr Y-% ' /�li:�/ �,' _�i�" /lf s l7 _ � <br /> � At the following location �5 D�`�� ���� .,�� f T r ��V t . �, <br /> � i <br /> SKETCH � i <br /> I (Work to be done) � I <br /> � irc ..uiTr nv�. �. i <br /> ��`����'7 ,v 5 �N--. �. _---- — `� <br /> � � ��ni��.>>usr <br /> � �- �uitzr���� sicu rn ��c� r n�:�)IN:r 1. �1NPP(1:: 1' � j <br /> ' ` rrs�� <br /> , l � -- —= o���-=— , �—_--- -- —�, <br /> ( _.__. � ,�` trv rrtK� �' <br /> � <br /> � I -- — _—..L� �I <br /> T I; � '� I I � <br /> ; _ �� . � � � ' <br /> ; G li � �.���r. � � -_ . \ II J <br /> T, � ._... <br /> I i r�ivci�r� � /`"' —__.\ r— <br /> ~ 'i [r��wur. K � ; f31C�U T�NNlI�L'—____._. . !, � 'I <br /> ji FI L7V BL � I I I�I� 1211 � ii � I <br /> � , � l; <br /> ; \ ' <br /> . . . ..._�.i1...��._._...�...._.�.». I >>•' 151:> li <br /> �� �� � � ii � <br /> � �i —� � � <br /> ,; � '�— — — -- _ —�� � <br /> ;� � i - - - IVO SC�aLE il !� �i <br /> I � r� I! �' <br /> � <br /> ��� 1�' � � � i <br /> � si�� Yr_,a, � i �� � <br /> �i FQLUIIJG ia��� PO(iTA�L� �'� <br /> ' OFiIVEwAv SECTION The undersigned owner hereby agrees to hold and <br /> I i NO SCALE ,l1 save hartnless the City of Everett from any and all � <br /> ' —_�^ N claims for damages that may arise lxcause of installa• I <br /> �i �I� tia;�and maintenance of the improvement hereto I <br /> � � applied for and further agrees to emove same upon I <br /> i I _ \ ,� I notice from the Ciry a to rep public properry � <br /> 1/�1 � the � <br /> I A'J ,���� � Signa re of Applic t <br /> U KI � ` � <br /> ��, COPY OF TFIIS APPLICATION TO � ����/��� 11 Address ' , <br /> BE POSTFD ON.106SI i[ / � � ��' /O� � I <br /> � ! Telephone Num r i <br /> � CALL ENGINEERING DEPT. 259�9811 i r, V � � I — �� `,7� i <br /> �. 24 HOURS 6[FORE CONSTRUCTION �y�M Oa[e ' � <br /> � I-- -�------ ---------- -I � � �Vn #'�E i <br /> CHECK LIST Fee i <br /> Wanrvawe OUli.l. �3;! L�]LI lY10 '�. Dept. Approvals <br /> Drainage (i; - 31-/� "' <br /> '� Curb&Gutter Engineers . <br /> Sidewalk ��.r� Water • , ; <br /> , ,�/.SC(/.��/, �/����O�Street � �. �!� . .�.� ii. �. <br /> �,�/�Q //�Communica ons �-�'� . <br /> Inspector'sSignature --�%%Y /'�/[.. ��/',,,�i4/7 -`�'.'�raffic /�. � ,� � � �� -� �` ' <br /> ���/�� �y, ����/G'/L Planning / � <br /> i <br /> ate :� �0.��.£l� /7�s ' ' �. <br /> �+ �/ ,G-t - v i.,-v�.= ti�c��; tHt �-�u :.��tQ � <br /> i /C .ClJ /o /�`'GE'��J �2�5` / 1 .a <br /> ,� Remark. �'�/J/ , <br /> /�y w/' <br /> '� Note: Original to Cusromer � <br /> 7 Copy [o File � �3�_4 , <br /> 1 Copy to Inspr.ctor Approved by <br /> Date Approved <br />