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� . . . . . . _. . .. __ e <br /> . APPLICATION FOR RIGHT•OF•WAY USE PERMIT <br /> • everetl � �rz�� ���4 6 7 <br /> e �� 1� <br /> f-,�.-� . <br /> CITY ENGINEERS L',�jy ° � � l� /� <br /> EVERETT, WASHINGTON `� ���/��� �f���� PERMIT� ,, /' <br /> The Undersigned S Q f�C'I' �r �c' w G' l� <br /> Hereby applies for permission to r e o 7 a e p s F c t 'o„ o � C o n c i-c� l'e S,�w € ��w _ <br /> At the following location /i 2 2 C r e A v� <br /> SKETCH <br /> (Wotk to be done) � <br /> c�� ����� ��e. r � <br /> ����_,_ -- <br /> _ <br /> � _ � <br /> , <br /> % �°0��=s �r�`� � �"' � , I <br /> ' . <br /> ,yfl "l�/✓Vf-�J�`� �/�a�r-�� ��,� - � :. ,� <br /> V ,�� <br /> ���¢.��8� �/l�(�fl �� � ; �j � � <br /> ; � � � k� � � <br /> — - -- -• --� � I I I <br /> I N I ' <br /> ' I � <br /> i <br /> Wn�p� I I <br /> , — _ _—__��__"�_ __..�.-� I <br /> t32z , � <br /> i <br /> ii i _ � `= I <br /> . ./G.9� �-a G' . �'. . <br /> � � Q <br /> 12 � - -� -- � � � <br /> . ------ - � —� -r � , <br /> • s��,�, -- '/`j,i77/1 , I <br /> . e'n. , .- a � _t, <br /> i � • � _ <br /> '-------- —!��'� � � <br /> ---- - -- - ----- - - ----- I <br /> ' + -r- <br /> I , ' <br /> i _. ��--. <br /> ��-�o vre �n . - � �9� .- <br /> �°:R'.G'C_- .._ I <br /> I I <br /> , /,:. � i ' ` <br /> ORiVEwAY SECTION The undersigned owner hereby agrees to hold and <br /> NO SCALE save harm�ess the City of Everett irom any and all <br /> �---- IS� -----� claims for damages that may arise becaux of installa <br /> ��., ��P tion and maintenance of the improvement hercto <br /> �� -- —��� applied for and further agrees to remove same upon <br /> - - notice from the Ciry and m replace public property <br /> dam ed tpereby.h � � / � � <br /> ti �' / �.��/�i.�( � <br /> ignatu e o Ap lica�-�- <br /> ,(.�,71 �.' <br /> COPY OF THIS APPLICATION TO Address �� .� <br /> BE POSTED ON JOBSITE. ��- �4�3 <br /> / '� Telephone Number <br /> CALL ENGINEERING DEPT.259�8811 v� IkAY c. � Q Z1. <br /> 24 HOURS BEFORE CONSTRUCTION Date <br /> CHECK LIST Fee � <br /> Water Valve Dept. Approvals <br /> Drainage <br /> Curb&Gutter Engineers _ <br /> Sidewalk Water <br /> Street <br /> Communicationa��� <br /> Inspector'sSignawrc Traffic .��+��GCr Cti„�._ i�i0 �7l. <br /> Planning <br /> �ate <br /> Remarks <br /> Notr.: Original ro Customer <br /> , �aPYtoF�'� 10467 <br /> i Copy to Inspector Approvr.d by <br /> D�te qpproved <br />