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evgren - APPLICATION FOR RIGHT-OF-WAY USE PERMIT __ <br /> i . , e � loiis � <br /> , <br /> ; CITY ENGINEERS 75—� ' <br /> EVERETT,WASHINGTON PERMIT N0. <br /> The Undenigned l�-0 E��� ,C�. C>Cj EG.�L — ���.�+� / 'Q/VT,�•4L'rU/� <br /> �� Hereby applies for perBin� i�io� O,eT/ON oF ,QLCEY-,��Ti�eE,✓ L�i,G�Y wNo y r,, � <br /> I �6_u�irr a CU�LL- k�//,PuvG cuo,�/�i�v� �/a�,Rr QNGY- Fo2 Af'/,P�,�-, io t�.sS-s <br /> ! At the following Iceation /S/Z - /S2o .�/ECc�irT .Qv�, /L'o�.EY .OiYO ,�/LvF�sTo.vE <br /> BuiLDiN�s ) � <br /> SKETCH <br /> lwork to be aonel �EM����p�Y ����� �+� Cd VERED WALK V1/AY <br /> I FO�P /9/�/ti�X 90 4�-ys f��2 ATTFlCHEQ SKElCN <br /> I HE in// T T R'u�o iN acs�c� � <br /> CONGeETE WATE�I' <br /> � [/NE SUPHi,f'TS !'L-,C' , <br /> FFNCE—� nTrn�uF� SKETI'UDTO, �'�►�S <br /> ' Ifi/PT'/CW 4FAC/EY --- -- <br /> � <br /> i HEN �VE�ESSkh' <br /> r-dR LoNoinG � <br /> -- ---- � <br /> /512 /514 /5Z 0 <br /> � � I <br /> . , <br /> 3/4' WATfk <br /> I ReM�/N T� i' <br /> I� �� <br /> I I � <br /> i <br /> ' I� 4" WATER S6PVlC� � �. <br /> j ,, �o � K,�� By � w 1 <br /> D UTY WATER 1aEPT. � � l <br /> . ,' <br /> . ' ; �l <br /> I <br /> � <br /> FENCE I <br /> �I <br /> DRIVEWAY SECTION . Y Y,'�:� The undersigned owner hereby agrees to hold and I • <br /> INO SCALE save harmless the Ciry of Everett from any and all I <br /> claims for damages that may arise because of installa� '� <br /> �, tion and maintenance of the improvement hereto ' <br /> applied for and further agrees to remove same upon <br /> 30" __ 30" notice from the City and to replecc public property �� <br /> d ag reby. ��� <br /> /� / / r �1 ^ � <br /> � �'l'�PcK -lot SPw.Uer 4 �4�cr "i�ci li��e9 � S9natur�o ApPli/a t ,; <br /> ' �f,,,� TR %b-�- �o� � <br /> I� COPY OF THIS APPLICATION TO Add�re_ss� ��.. <br /> BE POSTED ON JOBSITE. �YI�O.��r,� _ ��/n �s �' � ! <br /> '•,� Tel one Number / � I <br /> �I CALL ENGINEERING DEPT. 259�H811 li �,�v, ,�3`S-. /�� "' � <br /> �i 1 i �r-�� <br /> 24 HOURS BEFORE CONSTHUCTION � Date <br /> I �----� -- -- -_ i D �c�,� /�/o �c'L'' , <br /> ' CHECK LIST I� Fee <br /> Wanr Valve pt. Ap r vals '' <br /> � Drainage �� <br /> Curb&GutMr Engineers �"'� �� ' <br /> � Sidewalk �4Vater ' <br /> '1/ Street G � <br /> ��YL �l�QVY , ' Communication � - � �-' . <br /> Inspector's Signature � 4 <br /> Traffic / � G 75 �j , <br /> S � g �r S_ Planning ' �—'�-`�" 7� <br /> ate <br /> Remarks <br /> Note: Original to Customer <br /> t conv :o F�i� 10113 <br /> ..wA� 1 Copy ta Inspector Approved� <br /> T <br /> Date Approved <br /> �-�'_-�, �C`J� 7� <br />