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APPLICATION FOR RIGHT-OF•WAY USE PERMIT <br /> eve-etl ! !} 1.r f <br /> � v <br /> CITY ENGINEERS '" —" <br /> EVERETT,WASHINGTON . PERMITNO. / -� `� _ <br /> � <br /> � / � ' <br /> TheUndersigned j,�-�lYi�:i�ii�� i� � � .�iL-�-1' /'+',�7 _I�--�'�u . <br /> / / <br /> Hereby appiies for permission to � -- ' <br /> a-,,.-..� ,L - �(�.. � .� -� _ / <br /> At the following location �� 3/ "��/''-'.=' S. . <br /> SKETCH <br /> (Work to be done) <br /> ,=�GLE � h <br /> NG SCAGE <br /> so' 2 <br /> 0 <br /> PK000sE� -�— f� <br /> .�v�o �/ 1 <br /> �?Er? <br /> � � <br /> 353/ <br /> �� <br /> PF� N� � <br /> � <br /> �- <br /> ---. _� <br /> � Ex�.'rin/6 <br /> ZJRi v'E[tJAY <br /> �� / � \/� � 1/�. <br /> � <br /> � <br /> DRIVEwAY SECTION The undersigned owner nereby agrees to hold and <br /> NO SCALE save harmless the Ciry of Everett irom any and all � <br /> f.--- --� claims for damages that may arise because of instalia� <br /> �I" LIP tion and maintenance of [he improvement hereto <br /> applied for and turther agrees to remove same upon <br /> �30';�„__ ______�.3��� ��i �� notire from the Ciry and to repiace public property <br /> damaged ihereby.. '�- �� � <br /> � 7'-� .� '/�6 � b ��' � (. � <br /> , o w, aac e a x s e i . ,!a <br /> � �� <br /> C K s{yfi��e of Applica J_��� <br /> ) � / <br /> ICOPY OF THIS APPLiCATION TO� I Ad,ress ' ��/ <br /> BE POSTED ON JOBSITE. �-'L"l�� (yiCrst � <br /> T�'Iep one u ber <br /> � Cni.l C''dGl(uflERINGDEPT. 259�8811 ,/p � j �, 7--;i .3 ��: ��j.� <br /> �� �'��'�H'. ;;�. !-Ut1C CONSTRUCTION � Date � <br /> , l, ' , �' i�J��- <br /> CHECK LIST Fee �. ��— <br /> Water Valve ep .�l(�fS�OYa�S�-��. . <br /> Drainage .!' '" J;=�-�-��.��+/-��� ' <br /> Curb&Gutter Enc,ineeFs - -�E� \ ,�, <br /> .L� �r> <br /> Sidewalk /N4'ater ` -��� _ <br /> Sl.aet <br /> Communications T " <br /> ?;� <br /> Inspector's5ignature Traffic �/5= S� <br /> Plannin • �� —7�_ <br /> ate <br /> Remarks <br /> Notc: Original to Customcr <br /> 1Cu�,y �oF�1,= � �1� �7 — j <br /> 7 Cnpy ta Insi����.n,i A�Proved� <br /> — __' ipl <br /> D'atn, qp�rioved 7 7--- <br /> �—J�i ..:.-/ / ,/,_� <br />