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everetl A�'PLICATION FOR RIGHT-OF•WAY USE PERM,IT <br /> e Zo387 f�� <br /> CITY ENGINEERS ���� � <br /> EVERETT, 1^!ASHINGTON _ -� � <br /> PERMIT N0. � °--'�" <br /> The Undersigned -� il.�G.r :i' �r'--'��� • � <br /> i � '=:. <br /> ', Hereby appliesfor.permission to ' �� L � G �� - `�� -� ��_� . .� , � - <br /> ��� :-� - !. . ..s - <br /> - - � � -���✓ � <br /> , At the following locationi ���/ — 0/��",�c,S" �jt��/�� , <br /> � SKETCH <br /> • (Work to be done) . <br /> e� � I � <br /> ` !�; _ � <br /> I � <br /> � ,� <br /> ,� <br /> � i;i _ i�_ � � ;� <br /> I V , 7�', <br /> I �� Z" � �v:' _ . ,1 .. � � n, <br /> / ��.�- J."'1 .. J �r ���i�i,_'1,...^. i <br /> �� � , I <br /> � N � <br /> ;i..`>�r,r�.�G �-5 <br /> �j' 2� � � ^`�I — � <br /> �—'1 rx�s���c As-�-���:.-,-,.'� i <br /> �j�' T'' !�C� / <br /> , DRIVEWAY SEC710N � The undersigned owner here6y agrees to hold and <br /> � , NO SCALE_ save harmless the Ciry of Eve�ett from any and al� �� <br /> r--- <br /> � claims for damages that may arise because of installa� � <br /> _ 1�" uP tion and maintenance of the improvemen[hereto � <br /> I 30" I _ I 30� � r applied for and further agrees to remove same upon <br /> r--•�-- ---— -•r•--�-i i notice trom the City and to replace public property <br /> I ; <br /> C' ,;�I,.�� dam e thereb <br /> ��}�� = � i i� ( .��� � ,�-;zz�Zl. <br /> - ----- - - _ .. � N' (I��, Sig ure of APPlicant I <br /> G, ��3i ,,�Q�,�� <br /> COPY OF THIS APPLICATION TO� , Address <br /> ee rosreo ori �oasire. f r , l: ��y_ ��� Sr� <br /> .:AIL �MGINFERINGDEPT. 259�8811� � TelephoneNumber <br /> I �� f�n�-'RS 9EPORE CO�ISTRUCTIONi �e'T�� <br /> - ------ - -- - � Date � <br /> � CHECK LIST � ` � "--` ' <br /> Water Valve F�e � <br /> � Drainage D ��� j ''i <br /> Curb&Gutter �'' ��'. ,' Engine rs � � I <br /> Sidewalk � �,/ <br /> �� Water e i�e.. �e/- !"'P /_�`�oj f�(,',� ' <br /> � . Street � ' � _ <br /> � �� <br /> � , � � Communicati � � � <br /> I�Fp ctor's Sigi abire /. �� <br /> Traffic S <br /> / � � <br /> 5--��- . 'J/ ., Plannin�� _ ' �t_ .G fo . <br /> D��te 41 _.. w e � � <br /> G,8 <br /> Remarks <br /> Note: Oric�inal to Customer <br /> ' c�rv `� F��� 10387 , <br /> � 1 Copy to �nsoector Approved b - / <br /> � � 3/s � <br /> Date Approved <br />