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evereK APPIICATION FOR RIGHT-OF-WAY USE PERMIT <br /> e <br /> CITY ENGINEERS � __ , <br /> EVERETT,WASHI�GTON PERMITNO. � � �-- � � <br /> .- � , , , . . � . _ . <br /> The Undersigned�'= i � <br /> � � t�\ �� , _ <br /> Herebyappliesforpertnissionto � � �'- � .-• U���� � . � /'l ;:j :`� <br /> . r�� � 'i�� 1 . , � ��� � _ , � <br /> i <br /> At the following Ixation " ' ^ '-- � ' � � � <br /> .� - i�� i � � - <br /> SKETCH <br /> (Worktobedone) F �� � �' 1 ��� ', ��(�'� ..- .� �' <br /> � '�:.��� <br /> !v �- V� ' ) 'i � ��L' ;'1� �� � <br /> '��_..p/3,� '� c� (�'d` y� <-,� <br /> i�� �': -- " <br /> �'�-- — ��---- --����, � � � <br /> I � ' 46' �,I <br /> � I � ') � �� - , � <br /> ',-� E D "_. 0 � _: ' . ; , . �%� � <br /> ,� N� �"✓ ASP ,4- D/ill � <br /> \�` i T <br /> I <br /> L 0 T.� ? I �` 2 2 ='- <br /> c <br /> i —1 � <br /> `— — l + <br /> _� <br /> I <br /> — _- - �L- <br /> DRIVEWAY SECTION � The undersigned owner hereby agrees to hold and <br /> NO SCALE save hattnless the City of Everett from any and all <br /> F-- p � -� claims for damages that may arise because of installa� <br /> i" LiP tion and maintenance oi the improvement hereto � <br /> , applied for and turther agrees to remove same upon <br /> �3,o" f �_�� 30' I _ ` notice irom the City and to replace pub�ic property <br /> - �"t�—_ ---�--�i <br /> / /� i��:l.�,. 1:'� �. . . damagedthrreby. <br /> �'� 7ii� � 7 <br /> �` Z ��:i� �, / i�i <br /> �� Signature of Applicant <br /> � COPY OF THIS APPLICATION TO � � ��LI(�L/ Address <br /> I �r <br /> '� P.f_ POSTED ON J0651TE. ����y <br /> i CA�L EfJGIPJf_[RING DEPT. 259-8811 ,I � � Telephone Number <br /> � G <br /> � 7-1 �iOUP�;, LEPORE CONSTRUCTION� 6� �� "�� Date <br /> _ _ � � ��. '�'. 7� . � , <br /> CHECK LIST '(�f � Fee � <br /> Wacer va�ve � `NZ{�7's p¢pt. Approvals <br /> Drainage � _ <br /> Curb&Gutter ��Yt- Engineers ______ <br /> Sidewalk � Water �� � l��" � <br /> « +C �, <br /> Street <br /> . . __ _ Communicati rs��' -�0 - 7 i 7a— <br /> Inspector'sSignature �" , r <br /> Traffic `"'—��_�%�� � <br /> L //: <br /> � <br /> / `�C`� v Plannin � <br /> at�e �G`/"'.<. , v " _. <br /> :�-� `� ��•_ , , _ — <br /> Remarks , <br /> Note: Original to Customer <br /> i Copy to File �� i ' �` �' <br /> 1 Copy to Inspector � � Approved by <br /> Date Approved <br />