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� e�'eretl <br /> APPIICATION FOR RIGHT-OF-WqY USE PERMIT <br /> - �� � �i � '� (1 � <br /> . , _ __ ,_ � <br /> CITY ENGINEERS <br /> EVERETT, WASHINGTON PERMITNO. - <br /> i . . � . <br /> The Undersigned � � � <br /> Hereby applies tor pertnission to �� �' i� """ - � ' lj ��� . � t � ,; <br /> At the tollowing location 2. '�: � � f! " � _ <br /> � <br /> SKETCH <br /> (Work to be done� <br /> . l'� �.\�t, i V ti., 'L��f' 1�_ . � - � _ _. , . �-- . . .� <br /> � � 1.�T�- ' . <br /> �. j2Gr�10UE., l,✓ �id vl�� C� � li �; ; <br /> �21VE.��4Y .� SEC�"I OA._� <br /> � �j�. ����E. S i �E.u.�4� K �, 1?E Ll�� � �_,� � � �-i <br /> � r 1 J ^ k?C_"i: � ). ) ��? ��I� �' � ��`��, ;;z r -T��.,/ ) <br /> `.� <br /> t DRIVEWAY SECTION The undersigned owner hereby agrees to hold and <br /> NO SCALE save harmless the City of Everet[trom any and all <br /> '�� �---- - ---� <br /> � •-> _ claims tor damages that may arise because of installa� <br /> �" LIP tion and maintenance of the improvement hareto <br /> �3O�I� �� ,. , I 30, I appiied tor and further agrees to remove same upon <br /> �1 ��- � -�.�> �---T—"t notice irom the City and to replace public properry <br /> damaged thereby. <br /> , Signature of Applicant � -- <br /> , . : � , ":'.. ... <br /> ICOPY OF THIS APPLICATIOMTO ,y/7�`�' `' Address .� � � <br /> �E POSTED ON J0651TE. � `� �� ' �—�`�� �0-j� � � <br /> �k'� { Telephone Number / _ I y <br /> �� CPIL ENGINEFRING DEPT.259-8811 � <br /> � �_ � <br /> I74 HOU!?S BEFORE CONSTRUCTION �'� Date �� <br /> l <br /> CHECK LIST � <br /> N'ater VaHe .'- Fee <br /> Drainage Dept. ApproValS <br /> Curb &Gutter Engineers__ <br /> Sidewalk <br /> Water <br /> /� <br /> � �� ��� �� Street <br /> / 1�1 pecm`�rsSignature — Communications <br /> Traffic <br /> �� ? /— �y Plannfng <br /> Date <br /> �i �G- <br /> Remarks <br /> 11_. � OR ' <br /> �� <br /> � APProved by,�_.'i' � ^.i .. _ . <br /> ;I���' /,!ri�.` _ ������'+., . <br /> (1 • <br /> � ,�;��ri_�.�IOG...; . . . . Date ApProved ' . 0 <br />