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APPLICA'fIUN FOR RIGHT-OF-WAY USE PERMIT q /c <br /> eve�en -� 1�1.'+ 0 s <br /> e - <br /> CITY ENGW�ERS <br /> EVERETT,WASHINGTO PERMITNO._ ��� <br /> /. 7 <br /> The Undersigned -� � < < /��ll��� <br /> Nereby applies for pertnission to CJ�VS"TiPUCT R 4 Z " N/GH WOOI�EN._FC'AICE <br /> APPR�X 3 ' .Bg/d/N,�.� S/ 1 <br /> At the fol lowing location Z3�� G.�'-:/�+n ��I./i__ �---- - <br /> SKETCH <br /> (Work t��be done) � <br /> l'�y ---C� <br /> ND SCALE <br /> , — - - �� <br /> � ��RAIV.D <br /> EX/STllV6 SIDEWLIUC � <br /> —� <br /> �� � --- -..._�— <br /> �yQ � i — �� <br /> , I 3 ' ,� <br /> PROPUSED 4Z"uIGN 231`L ! ° <br /> WL�IDEN FENCE , <br /> � <br /> � <br /> I <br /> i <br /> I '� <br /> � ORIVEWav SECTION The undersigned owner hereby agrees to hold and <br /> ' NO SCALE q 1 � save harmless the City ot Everett from any and all � <br /> ', -- -� ��`t . .�: claims for damages tliat may arise because of installa� I <br /> � tion and maintena�.ice ot the improvement hereto '� <br /> applied for and further agrees to remove same upon <br /> i 30" � _- __— .--- --_- 30" notice irom the City and to replace public property <br /> / da ed thereby. ) <br /> � DO /Yof Se� /PN« ouer �/an'hr /�a��� ����/��� � 1�� <br /> '- r5 e'p o�f l�r*hf�U�. I Sig reo A plicant <br /> 3 3 3 " UJ f � L � �� l �- Q�iL/'�,�� i <br /> (���� ry 6 <br /> � COPY UF THIS APPUC�TIOfJ f0 ��� `��"1 ���!�� Address��� � �� �� ; <br /> L'E POSTED ON JOBSITE. <br /> CALL ENGINEERWG DEPT. 259�IIE37 � I � �� Telophone Number � <br /> �f7J75� <br /> 24 HOURS 6[-FOR[ CONSTRUCTIOfJ�, r�•" �{� ,c.- ' <br /> � - - - ' /VQ �t. � . <br /> CHECK LIST ' '� <br /> Water Valve i ` Dept. ApproValS <br /> Dreinage � ' � /� , <br /> Curb&Gutter i Engineers� � �./S,� � -v �� . <br /> Sidewalk � �Water � � ' <br /> I <br /> /� j? Street <br /> --��:� � ' �' I <br /> 7�2�__ Communica[io�s �-�-�e-� <br /> Inspector's Signamre j/ <br /> T�atiic C'f --�Z-+ � <br /> L� � �_ -7� Planni g. "�.{� :� _ S->/`7S ' <br /> 7 <br /> at-b e - <br /> Remarks <br /> Note: Original to Customer � <br /> , �o,�Y to F��� 1 �1� 0 <br /> � 1 Copy to Inspector Approved by � <br /> �_ �� %� � <br /> � Date Approved <br />