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APPLICATION FOR RIGHT•OF-WAY USE PERMIT � <br /> � .. eyeretl 1 0 1 9 0 <br /> n � . <br /> CITY ENGINEERS <br /> EVERETT,WASHINGTON PERMIT N0.� _ �� <br /> T 1 1� l <br /> , The Undersigned �,- � : � � � yl " - l.C f Y I O 1 ��1 'L <br /> Hereby applies for permission to CUNSTRUCT Nf W .3 � �/����� CU/V C�C�_ _ — <br /> SYDEJnlAU< _ <br /> ' At the foilowinq location '2�C�2 OHKES AVE. <br /> SKETCH <br /> ' (Work to be done� �� <br /> I <br /> i <br /> i � ' <br /> I � <br /> i , <br /> --I � I <br /> � I i <br /> � <br /> ! 20 '�' S T NEw � • ;N i� c�N c�ErF ( � <br /> SIDCIn//-1L K � ' <br /> � FX,ST//�6 ' <br /> , " .S/G�WALK II <br /> —, 3. _ <br /> ---- � i <br /> ' 20�2 ' <br /> - NO �"ALE � <br /> ; Clc,o,e r,rr�t.CGPa�i� W I <br /> ��� � <br /> � <br /> � <br /> I DRIVEWAY SECTION The undersigned owner hereby agrees to hold and ,,. <br /> NO SCaLE save harmless the City ot Everett from any and all ; � <br /> ; �� claims for damages that may arise because of installa- !, I <br /> i � i" �i tion and maintenance of the improvement hereto � <br /> ' applied for and further a rces to remove same upon I <br /> I ��" ----- -- notice from the City a � o replace public property I� , <br /> �i ---- . ar ag�d th reby. _ <br /> � �� �- I <br /> ��r <br /> � Signature of Applicant <br /> i , ,�OD-:l O :�/T'f'S � <br /> ' I COPY OF THIS APPLICATION TU Ad ss �/ �� <br /> � BE POSTED ON JOBSITE. I �(,(�� �yP//. �'CI61. S�5�-z�� � <br /> CALL ENGINEERING DEPT. 259�8811 Telephone Number �, <br /> I24 NOURS BEPOR[ CONSTRUCTIO�� (� Date I <br /> '�. ----- � - - --._-. . _ _ � �� ,I <br /> i <br /> �� CHECKLIST �.3Q•� Fee <br /> � Water Va�ve e . App vals j <br /> Drainage • •��`. i <br /> Curb&Gutter En�ineer �� <br /> Sidewalk Water�,� � ��-1 -� `�- , <br /> .� ,f.-,`i ; � I <br /> �j ;�-� Street � � , <br /> � �, l �3-/-).Y'. <br /> . �/.y, /;�p�%( Communications <br /> , Inspector'sSignature Traific_ �- Y�' � � <br />� ' � � tj : Planning /L .�� S�- f <br />� //-�� - �s 4 � ._ ;: - <br /> ate <br />� <br /> Remarks <br /> 'I Nate: Original ta Castomer n <br />� i 1 Copy to File a_�?`)Q <br /> I 1 Copy to Inspector APProved� �, j�L� s�Z_7�- , <br />' � � Datc Approv d <br />