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' r�PPUCATION FOR RIGHT-OF-WAY USE PERMIT <br /> _ evlretl � . 1 Q 17 4 <br /> � _ e �� �"' <br /> CITY ENGINEERS " ) `�� <br /> ' EVERETT,WASHINGTON PERMITNO. /� —"' v <br /> i TheUndersigned C3_FUE/?LY DL-V�LOP.N/ENT C0. <br /> � Hereby applies for permission to CONST,2UCT i'� ' CD/1/CRG TE DR/I/E//✓,n� ', <br /> � , <br /> i — — <br /> i At the tollowing location �/ � ��/� N� �U '� — , <br /> SKETCH -- <br /> �� �Work to be done) , <br /> I <br /> i <br /> ' <br /> I <br /> � <br /> '' I � � i <br /> � ` �I <br /> i NEW CONCRETE <br /> � DRI VEWU1' <br /> � � <br /> � 28a9 <br /> i <br /> EXIST/�✓G 5/DCWALK, <br /> �URB � GUTTEi: <br /> � - <br /> I NA SCALE <br /> I <br /> — � <br /> 3�'-J �8� <br /> P�NAVIFW BLVD. <br /> DRIVEwAY SECTION � The undersigned owner hereby agrees to hold and <br /> NO SCaLE save harmless the City of Everett from any and all . <br /> i � 25� ---—� claims Tor damages that may arise because of installa� <br /> tion and maintenance of the improvement hereto <br /> ' I" �iP � applied for and `urther agrees to remove same upon . <br /> I30'�_. ��'_______.}.30" notice from the City and ro r place public properry <br /> � ����: /� da�a ed thereb � <br /> j r� <br /> S' u o ic n <br /> � W - ' = - <br /> � COPY OF THIS �I'PLICnTION TO � �(� Address ' <br /> �I IBEPOSTEDONJOBSITE. �� �w�� Z.SB-3 '4V� <br /> i� Teiephone Number <br /> i CALL ENGINEERING DEPT. 259-8617 I�, �rJ� <br /> . � 24 I-{OURS BEFORE CONSTRUCTIDNJ Date /� �� il(l�, �J� 5 7/7�� <br /> !J j <br /> � CHECK LIST Fee <br /> Water Valve i t. proVals � <br /> Drainage . �,��`� t���f+_�s- „ <br /> Curb&Gutter � Enc�ineers <br /> Sidewalk Water (,� J � ' � � <br /> �� ' ' .� � ��� ,� Street�r� , <br /> ' � � _ �� � (, -`"s`� <br /> ���� Communications � �-=h <br /> � Inspector's Signaturc Traffic L <br /> -� ?l\ ..� Planning . `/ /G�� <br /> �v � r <br /> ate <br /> Remarks <br /> Notc: Uri3inal m Customer y <br /> 1 Copy to File �_O y 7 4 ) <br /> 1 Copy to InsPr.ctor A� ��� `' � � � � `�_ <br /> Gbla,.,.l�c�, �-= "�S <br /> acc Apn oved� <br />