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qppLICATION FOF RIGHT-(1F-WAY USE PERMIT <br /> i �� everetl �1 O C C � ' • <br />_ i � 1 .!J <br />� CITY ENGINEERS ; <br /> � EVERETT, WASHINGTON PERRAIT�VO.__ _ i <br /> �, The Undersigned i <br /> i <br /> � Hereby applies for permissioo to_. — <br /> ', At the following location �'I <br /> SKETCH i <br /> �� (Work to be donel .. �.. �. `. � <br /> `-__: �� ;.. � <br /> - ' <br /> ___-. :...__ � 1 <br /> i -�`_ `_��"^+ "�-�,�` � II <br /> , i -_ ---�_i� ; <br /> I � <br /> f _ '� ' <br /> i } ```�-_ ,' � ,� � � <br /> � � <br /> ' � I�� I '- , - „il, � � I ,I <br /> � ,� � i , � - . � � - ����� � � � i ��� <br /> �� : ,� ,,r � ,. I. <br /> I �� c�: ,...���5, f'� �r , ���; Z � <br /> ��, - � , I <br /> � � � � � <br /> I � �_� ! `, �s � <br /> � - � I � ' �'',th �.� j <br /> ; � I , � , <br /> �; — -- -I , '?�+ I I � <br /> I i'y ____ I 'i � ~ I� 1���) I �! <br /> { <br /> i _`�i.� '' � � 1 . <br /> _�' I,',f IN I , <br /> I � t .�- 1 <br /> I : — - I <br /> � ��� ��.� . -- , <br /> II _�i , ' _— ,. <br /> � �. F�� � ��� i � <br /> i <br /> � � <br /> i, I, <br /> �� DRIVEWAY SECT�UN The undersigned owner hereby agrees to hold and �� <br /> '� MO SCALE save harmless the City of Eveiett from any and all �� <br /> I �----- --�I claims for damages that may arise because of installa• � <br /> I i„ � P tion an2 maintenance of the improvement hereto <br /> �I applied for and further agrees to remove same upon � <br /> 30 notice from the City and to replace public property <br /> I �-30':}--- ----�_.,� � <br /> ', damaged thereby. ', <br /> I <br /> , SignaWre of Applicant . <br /> � <br /> ' COPY OF THIS APPLICATION TO Address ', <br /> BE POSTED ON JOBSITE. <br /> Telephone Number <br /> � .,A�L ENGWE6RIPJG D:PT. 259�8811 ' <br /> 24 HOUFi� BE�ORE CONSTRUCTION Date �' <br /> ' �^--- -- - -� - -�---- � � <br /> i CHECK LIST 1 . FPQ II <br /> Water Valve -� �{;.ri(� , Dept. Approvals <br /> Drainane �"1-�- . �. ���! % �� <br /> Curb&Gutter . .� �j �, Enqinecrs_�_i�-. ! <br /> . �.e���' � . � � � <br /> Sidewalk �Nater__�_ _.. ' <br /> � : �, (; Street -- - . � <br /> , — — <br /> � <br /> � ,�j( !/C. - .-- Communications__ ji i <br /> Inspector's Signature /l} - Traffic - � � � __ <br /> . �L%�--�' �� �' ' Planning ;i � <br /> � (-' <br /> ate <br /> Remarks <br /> '� Note: Original to Customr.r � <br /> � 1CopytoFile �0551 . �� <br /> i Copy ta Inspector APProved by , <br /> ' Date Approved� � <br /> � ' ..u�rYJ ~ � <br />