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�,rPLICATIONFORRI�HT•OF-WAYUSEPERMII" 1013� <br /> everetl <br /> � e �5-22 <br /> CITY EPiGINEERS pERMIT N0. <br /> EVI:RETT,WASHINGTON <br /> The Undersigned��-a�--�^'�"� � SC .�7 .O_rr_"� <br /> Herebyappliesforpermissionto EREC��'Pv yNl� LAN .5�:'•pFE <br /> on Fz-o- i�v — -- <br /> � At the following Iceation /9 i 5 P/�C/F/G � � - <br /> SKETCH <br /> � (IVork to be done) _ �j __ �-7 <br /> ��.� _"`.�_�.a <br /> i No s�Ac� <br /> � <br /> � <br /> i OMBRRD E.CIST/N6 5/DFYYALK ' <br /> NEW I�CKE,2Y <br /> �, . MAX. �-2" NIGN � <br /> .�-- — —.. <br /> ' --_----- - _ <br /> ..__ � � p EXlST1N6 <br /> u DRIVEIMAY <br /> /ANDSC/�PING <br /> � <br /> W <br /> � PL,9CE EXIRUDED � �.--EX/ST/NG <br /> � CON£��TE CURBING qgpyALT <br /> ' /�FPRO.0 (n' B�'ll/lVD `� <br /> �Z� SlDF_h9aLK � <br /> � <br /> I EXISTI�JG I�V✓ U <br /> � a <br /> � <br /> � <br /> ' DRIVEWAY SECTION The undersigned owrt=r hr.reby agrees to hold and <br /> � save harmiess the City oi Everett irom any and ail <br /> � NO SCALE claims for damac]es that may arise because ot installg� <br /> . �-- � tion and maintenance of the improvement hereto <br /> �, Y �� �'� `�? 1 applied tor and further agrees to remove same upon <br /> 30" . 30�J � noti�e lrom the City and to replace oublic property � <br /> - , -- -�—-- �-" � � � dama ed hereby. <br /> �� ��/.{/� �7 � .n �.�_� <br /> � � �O /VO� �OdC✓ GlA'C�� �eYd/c e �(JO k. . Signa ure P icant � ^ <br /> Qi{y� lC "7 `/l ST��F ���,�?s`7 <br /> r -- - � - -_ . _ __ . ..� A�ess <br /> ' COPY l',f� llIIS i1PPl_IC.i1l I(�fJ TO �3� L�/�C�7 O/{ 335� �7�`� <br /> BE POSTf.D ��td ��[3�ITE. Telephune Number <br /> , CALLENCIRIEEHINGDEPT.259-BBtll � � � '�F�' �`'r , <br /> r <br /> Q��,l Date <br /> 24ii�lUP,'; CLFOH[ CONSlRUC11i7N ,�, �� �/Q�F� _ <br /> 1 Fee <br /> CHECK LIST val <br /> Water Valve % ��= <br /> Drainage Engin <br /> Curb &Gutter <br /> ''1bVater � • � <br /> Sidr.walk - /, <br /> -� � -'� Sireet '�'`� _,_,a.,d—_ <br /> / ^n � ��j,�. .e�t� <br /> / <br /> -�/ � ������:+ Ccmmunicatf s � <br /> �.. Tra(fic � 4� • s¢- y5' <br /> Inspector's Signamre ��(f� ,. -7�� <br /> . � _ -- Plannin'k������'-a' ' ��� <br /> 1'. - (� j <br /> ate J , <br /> r.o <br /> � ��� =—i � i, _j �_ y , .';� � . , � , <br /> , � , <br /> Remarks <br /> � Note: Original t�Customer <br /> 1 CopV 7a File �O 1�5 ApProved i 3 �� <br /> 1 Copy tc Incpector T--S — <br /> Dal��ed <br />