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APPLICATION FCR RIGHT-OF-WAY USE PERMIT <br /> everetl 1 Q 18 6 <br /> � / <br /> CITY ENGINEERS 7�/n� <br /> EVERETT,WASHINGTON PERM�TNO. �" «� <br /> The Undersiyned A �IVi1�f/ � � ��� f�T� � <br /> Here y applies f¢�y ission to �� C ' �� <br /> �'A.2f� F.Pn.n��-P�i�G irv <br /> At the following location -�o� /'� `� /G G — — � <br /> SKETCH <br /> p:rork m be done) � � <br /> � • <br /> .��C i <br /> �,G � <br /> ��� ��� � <br /> �� PEN DRAINAC,E DITC�I � ' <br /> � APPROX. 18'' DEEP � <br /> lZ" CULU. � � �� �, � <br /> � � <br /> 0����� \ 9 <br /> �O <br /> ��O � I <br /> 32 000 �\ � <br /> °000\ .� ! <br /> �o o � NO SC�ULE '� <br /> S4N�q6S �7YP.) �o <br /> / TO CLERR DRFlINA6E � <br /> 171TCN LINE BY 5' <br /> L �4, <br /> DRIVEWAY SECTION The undersigned owner hereby agrees to hold and '' <br /> NO SCaLE-- � save harmless the City of Everett irom any and all � <br /> claims tor dama9es that may arise because of installa� <br /> „ tion and maiotenance ot the impruvement hereto <br /> — applied for and further agrer.s to remove same upon <br /> 30" -- --_-_.--- ----..-• 30..I So3t��omft�hP�Ci�aod to r��ce publi� I <br /> G � <br /> i Y ����f I 1 - ;il���l li --i!��s: i�� Ad ress �I <br /> ' i io:,r�oon .,ousiT� 3SS- o y3o <br /> ' Teleprone Number . <br /> , ��, �.-�LL ENGINEERING DEPT. 259�8811 �' Ly - "Z v7 _ �� � <br /> ,'-� IIOURS f31_1=0RE CCNSTRUClIOId� Date �� ��� <br /> I CHECK LIST �- Fee <br /> Water Valve ��`� �r� pt. ppl'ovals � <br /> Drainage -+� . <br /> Curb&Gutter Engineers � <br /> Sidewalk Water v �- �Y �-�J, � '�7S-�r <br /> / ' Strcet k, ` � <br /> �� ������ � � ��..5 � <br /> r <br /> _c �/ / i�� � Communicatioru +7` -�-�-_-,.,..cr <br /> Inspector's Signature Trafiic /�� �� � 7S <br /> � � � , / r - <br /> Planning' — } <br /> -6ate � <br /> i <br /> �,�,� 7`Z <�u C��o.L�C <br /> Remarks <br /> Note: Oriyinal to Cusromer <br /> 1 Copy to f-ile � n '1 n b' / <br /> t CoPY m Inspector npproved, �. (�[,�_ t�,` � <br /> �/ ��G!/f9 �/�/�� <br /> Datc Ap�irovu� <br />