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"'' APPUCATION FOR RIGHT•OF-WAY USE PERMIT <br /> everetl <br /> � __ 10172 <br /> ; � <br /> CITY ENGINEERS 75 -5 � <br /> � EVERETT,WASHINGTON r-� PERMITNO.. <br /> � �,y�� �,� ' <br /> �. TheUndenigned � �lOwr aQ C � I � <br /> � Hereby applies for pertnission to CONSTG'//C T S/G..]t'In/NLK CAFE �la7/NG . <br /> � A�7E.G aN S/lJE1NALK RE.tia✓�,qa � ' P.9.�ririo i�5 <br /> At the fo�lowing locatioo / 7/l New� r r /�1���. <br /> SKETCH <br /> (Work to be done� ', <br /> � , <br /> J .._�- i <br /> � I <br /> ��� � FACE aF <br /> EX/ST//YG �XIS T/NG L3L DG. ' <br /> /��Ur//v.V/RE �j� � <br /> � S/LIEWALK� CUR$ / �.9QKi�v6 n,�rE¢ <br /> ANI� GUT7Ef? �.��,R,I�- <br /> � <br /> I <br /> � <br /> - -- -�-- �, ,. — �' <br /> 50 ¢� 35-0 � �.`!�-' <br /> ' , 1 _L ,� � <br /> 2,c l��f-:K�ME b✓/TN=.T.'��-// <br /> , <br /> I <br /> � �LE NE/n//TT AI�E �DlN6 - APP.�OX 2 �H/GN <br /> � � <br /> � I � <br /> IDRIVEWAv SECT�ON The undersigned owner hereby agrees to hold and . <br /> ; NO SCALE save harmless the City of Everett from any and all � <br /> i - claims tor damages that may arise because of installa- <br /> �. tion and maintenance of the improvement hereto � <br /> � 30" __ 30" applied for and further agrees to remove same upon <br /> � r. ri notice from the City and to replace public properry <br /> , 4 � ' da��thereby. 3 ^\ _ _��� �. <br /> �„- t l�'Y1'/ � <br /> ! Si iamre o�Applicant <br /> ' Address � ��1-�� � <br /> ' COPY OF THIS APPLICATION TO ' <br /> BE POST[U GN JOBSITE. _ � Z l �Z - � .3 � � <br /> Telephone Number <br /> �I CALL ENGINEERING DEPT. 25&881i " �� �, _� Gj _ 7 `� <br /> ', 24 HOU�3S DEFORE CONSTRUCTION Date � <br /> No ��� <br /> CHECK UST Fee - ' <br /> WaMr Valve ept. ApproVels <br /> Drainage <br /> Curb&Gutter Engineers �(%''Ji,CvtC�rv �-� �1,� : <br /> Sidewalk Water ✓ � . r'� � -J7- � <br /> � - --�i . � . . I <br /> -�, . . Street %!� ;% ��.�� n <br /> � � � � ' // � � � <br /> /. �2-�- Communicatians � � . -...-. tiQP <br /> Inspector's Sigpature ' Traffic - �i� � :.��/�4�T,�';'L!,� -7 <br /> . - - � � Planning. ,.�t:�r="��� .. � � 't-ZZ l� <br /> � j r,_ J <br /> �� at� C ,�,� — <br /> ����� t3� •�c/cA�✓�-'`s/ � i . �- <br /> Remarks �_d�j,X� l� �C :; �'.��.�—. c.��� � <br /> Note: Original ro Customer ' � <br /> � 1 CoPY to File 1 (�_�_7 L : �.-4/ •� ' - - ---, <br /> . 1 Copy to Inspector Approved by �,. / � i � i�y <br /> , -' i:a*'__..��;-^.' <br /> � Da[e Approved � <br />