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e'veren _, APPLICATION FOR RIGHT-OF-WAY USE PERMIT _ <br /> 10�180 ' <br /> � <br /> CITY ENGINEERS �]� � � <br /> EVERETT,WASHINGTON PERMITNO. � <br /> TheUndenigned_lli�.l �! �. �v �� /7 � � ! <br /> Hereby applies for pertnission to �O NS T�[if� T �nl7//�f� -Tf .5 Lv ON /yf4//TT r7L�E I <br /> _Tv C'iTY s��'S AN� �.O('E 7F/Y�r�.CBl1�'11L.rvy 4 r I r,n�,,p/K )�t/ OL,QY � <br /> At the following Ixation_ ��c�� .��i�/l/Tj i9//� " <br /> i <br /> SKETCH <br /> � (Work to be done) �'� <br /> i <br /> - - -- �-4 ��U I T T /-��/ E � <br /> - -- - - - -- -- ; <br /> WATER METER �BOX I I , � i <br /> TOBE SEf TO GI�4p�E„ � � � <br /> 1F NOT USED, Ta BE �' <br /> KJLIF_H BY E.W.D. 1� ' `-1 <br /> Q iV EW C�N�2ET E � � <br /> � - �1�E�LJA L K_ Tp i I <br /> —, GITI' SPECS. i <br /> � - �N•• ��� � p � <br /> ,� <br /> ' _ _ _ �1 x4' � LE /`n <br /> ! iW <br /> F-I�LES /�1_l ;:�N �J ITI-� I <br /> THOSE �N; C7PP�S ITE � J <br /> SI �E �F" �T 2.EET—�� � <br /> I I �' � 34� � O I <br /> i j <br /> � TEMIP ASPHALT � <br /> L J!� S I���L7A.LIL -- <br /> � oiv� v <br /> � Q ' � <br /> I I <br /> � DRWEWAv SECT�ON The undersigned owner here6y agrees to hold and <br /> ' \ NO SCALE � save harmless the Ciry of Everett from any and all <br /> ���� p � �W claims for damages that may arise because of installa- <br /> i" tion and maintenance nf ihe improvemen[hereto I <br /> 30„ o„ applied for and further agrees to remove same upon i <br /> — notice from the Ciry and to replace p lic property i <br /> �'E �a /l�v� l��a n�' Tc.- ove r /! ��(/v�v� C�ed n e� y. � p , <br /> SignaNre of Apphcant �� <br /> �j� �;..: 7-i4 /'3.n.� 3 O�� � <br /> � COPY OF THIS APPLICl�TION TO <br /> �� � Address ' <br /> BE POSTED�ON JOBSITE. ����� Cy� 9� > �� �� I <br /> � CALL ENGINEGRING DEPT. 259�88� Tel hone Number � <br /> � 24 HOURS 6EFORE_CONSTRUC�iON�i Date�o �� r .I <br /> � -- — <br /> CHECK LIST �' <br /> Fee i <br /> Warir Valve . <br /> . I Orainage ;QeP Ap ovals I <br /> , Curb&Gutter Engineers �� Z� �f I <br /> Sidewalk Q. j <br /> %�Water <br /> ;i _ � <br /> Street� <br /> � � ���' � ��� �- Communications � � <br /> . Inspector's Signature Traffic �r "� '9 � �' <br /> I�L • - `� �%, - Planning / �7 ,S" � <br /> /`� �.y � ;)� <br /> ate � <br /> Remarks <br /> Note: Original to Customer <br /> 1 Copy ro File �_�'��O ', <br /> 1 Copy to Inspector Approved/6� �� � <br /> / '�' �/2/�7r <br /> ���i / ,�✓'. � .. <br /> Date Approved � <br />