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APPLICATIO�! FOR RIGHT-OF-WAY USE PERMIT - ' <br /> everelt � - � <br /> - - �p 10051 <br /> � <br /> CITY ENGINEERS <br /> EVERETT,WASHINGTON PERMIT N0. <br /> �. The Undersigned A � � A GG�� '�. <br /> Hereby applies for permission to T i � � ��� n n �ti� i I �)�!►�1 TO P,1�) ��C� �71 t��('p � <br /> c .n.—r�� �3As_t�� �� -r� r- �-ru g i�.�-t o�F u� R � <br /> At the following location �20 �F('�L__,.Q_f�_i� <br /> SKETCH <br /> (Work ro be done) . <br /> � , <br /> � <br /> : � �p SC��`� � <br /> / <br /> � <br /> _\� � \ � <br /> �i <br /> � ' ` S�r�,�� / <br /> ZZO � „ �er ' <br /> 3�� �a <br /> ��� ���N y\ � / <br /> L I NC- ^'� G•� �� S19E �,/ <br /> /`�MU!/c .5'SEC ,'�y �x <br /> �5� E.X�ST c�1$� �y+I'l L-Y. <br /> S/UcWy[1: E` /t�i-v,cq<<-• � � <br /> � <br /> � � �R' <br /> / //NoTc : <br /> � ' f3REAl<- ou7 A FU�i <br /> /� �' � S � SEc."i'1 o ti1 p.F <br /> 5 ���(.�RLK c.vH� u— <br /> p Ac�N� DtzAi �1 t��N� <br /> F� R e�t.�-�F��pE� [w��-F <br /> ORIVEWAY SECTION The undcrsigned�w��I�ereoy ac7rE�Tto hold and <br /> NO ScaLE � save harmless the City of Everett from any and all <br /> � /� ----�i--"i � claims for damayes that may arise because of installa� � � <br /> 1 f' LIP —� � - tion and maintenaoce of the improvement hereto � <br /> I 30" I 30" I applied for and further agrees m remove same upon � <br /> !�"t'-- � -�------- - ---�-�-� -�f notice from the City and to replace public property <br /> dama6e here6y. � <br /> � Signature f Appl��6� ' <br /> � '�D� :�i��� :.�-� <br /> I COPI' OF TNIS APPLICATION TO ��.::.; .; Address � <br /> I (36 POSTED ON JOBSITE. �J�� ' 777� <br /> I C:�LL [NGW[LRiNG DEPT. 259�8811 � Telephone Number <br /> g -/.2 -�/,/ <br /> � <br /> " ' IIOUFS BFFCIRE CONSTRUCTION; Date � <br /> CHECK LIST A�� F�F <br /> Fee <br /> Water Valve D0 t. ' pr veFS <br /> Drainage / <br /> Curb& Gctter Engiy ee ' O <br /> Sidewalk Wa/ � — <br /> te <br /> /J �/ Street � _ <br /> ,� � � IO B� 7/ , Communicatioi s � :! ^�'; . �.�-,�' . . � <br /> I t na ure`� �„„� /�jc�-bl / <br /> Traftic �'� �--..._� <br /> ����� '����� Planning � 'U <br /> 'TS��dte <br /> Remarks <br /> Notc: Original to Customer <br /> , ����Y �� F��� 10 C151 <br /> I CopV to Inspr.ctor .4pproved by /� <br /> �---�. <br /> Date n ovcd '" ' <br /> �/-�'yt/7� <br />