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APPLICATION FOR RIGHT•OF•WAY USE PERMIT <br /> � everett L O O 6� <br /> e <br /> CI1'Y CNG!NEERS 7L�-��7� <br /> EVERETT, WASHINGTON PERMIT N0. _ <br /> � The Undersigned . (.(� !� /% ����+-��r'•"-Q� �'+,,'� <br /> Hereby aPPlies for permission to � - --_LLd�� <br /> �'�u.rr,�'i�'— " -' ��"' /7,4�1/f"��,Y <br /> At the following location �- �,J n- ��-.- v-n� �L�- -- <br /> � � <br /> SKETCH <br /> (Work to be done) <br /> � ,�,�,�v, ��sra,n�cz ti' <br /> }�/i. <br /> ; �7�.7 <br /> � <br /> � <br /> , � <br /> IZ'In/ oF �! ' Z-NEW DRI VEI��/A`� <br /> O 4�" ��. <br /> EDGE (JF PHVEI�1L3V I- ' <br /> �7 OLYMPIC DR. �, <br /> .._ _ - - <br /> o — \ <br /> � <br /> � , <br /> � . ,�--T _ �— <br /> /�!0 SCALE <br /> DRIVEWAY SECTION The undersigned owner hereby agrces to hold and <br /> NO SCl+LE save humless the Ciry of Everett trom any and all <br /> � claims tor damages that may arise 6ecause of installa� <br /> r--- 2 s � <br /> r� „ L P tion and maintenance of the improvement hertio <br /> applied for and further agrees to remove same upon <br /> . �,30'�__ .____��-'-- .-_--.}.30"..' notice from the City and to replace pubiic property <br /> ' � ��� . � � damaged thereby. <br /> q�.`�' //O ' � c� <br /> i nature o"F Fppl� �<l�`/tlee.....eF�e� <br /> /0 /� - �U/L1C �/+*�.^.L- <br /> ��.OPY OF THIS APPLICATION TO i Addre,53 . <br /> ���GPOSTEDONJOBSITE. l ct//i L1/7l� f`Ln-3 <br /> �� Telep one Number <br /> r:;�l_!. 1=fd�ItJEFRIiVG DEPT. 259-8II71 �, � S j - 3yS,L � <br /> .�.: �iul.!ii-. L'f_h�)RGCOPJSTRUCTIO,�.-;�� ;-1 r�Date - c��� �� ��- a- 7� <br /> �/�,C ✓ <br /> CHECK LIST (� Fce <br /> u �, . _ <br /> Water Valve '/' � Dept. Apprcvals <br /> Drainage , _ <br /> Curb &Gutter Engineers �' �� ���� � '� ! <br /> r; . - -) c <br /> Sidewalk � p Watcr N, �• M, ��� <br /> /� `O `�� Street__„ <br /> —�—r <br /> � Cc»y�l� `� � -�'��; / . <br /> 4_ .-_ �1� �O � s � �`I �yj0� Communication, � , �_ <br /> -.-� <br /> Inspector'sSignature �d7*� Traffic '3%v GL /G i 5't- <br /> Pl;,nnin� � , t1�r?=�'�¢ <br /> -Uate -- <br /> Remarks <br /> Note: Original to Customcr <br /> , ����Y �o F,�e 1 Q 0�5 � <br /> 1 Copy tn Intprctor Appfoved bY � <br /> t <br /> ` — - —. <br /> Date Ap.noveJ �l . , h <br /> ��/- /E. � �..� <br />