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_. APPLICATION FOR RIGNT-OF-WAY USE PERMIT -,` � <br /> _ evrrep <br /> � _ IC04� '� <br /> CITY ENGINEERS �� _ /� � , <br /> EVERETT',WASHINGTON PERMIT N0. I � <br /> �, / 1 <br /> The Undersigned ��G ���� {v O0 ' �. ' <br /> He�eby applics for permission to_�1� CC� y� �� �{ /��-J C Y��'�! C �C.c� �, <br /> -- ���r- �F-s,i�;� i . <br /> At the following location�� � /(�Q�c'. A v �' • <br /> � <br /> SKETCH — � <br /> � (Work to be dune) � <br /> � <br /> I <br /> j <br /> I II <br /> � � <br /> � I <br /> 7 <br /> d <br /> �) 5GF}LF ! <br /> � 19 � 9 co sT2 , �i' t�� r�H <br /> i <br /> � � c c�oN E Fcr.�c.E i ; <br /> ' � �---x -x--� <br /> � <br /> � � _ �� - — - - il , - �q - - - - - - � <br /> � � - � <br /> � ^ Morvt�oE �u � ' - � <br /> � � <br /> ', � <br /> I / I <br /> I DRIVEWAY SECTION / The undersigned ownerhereby agreesto hoid and I <br /> � `� 0 SCALE � save harmless the City o(Evere[[from any and all i <br /> ' � claims for damages that may arise because of instaiia� � <br /> LIP �'����� tion and maintenance oi the improvement hereto I <br /> � 3 " I 30" I applied for and further agrees to remove same upon <br /> , ---�----- ��-"--�T"-�"1 notice rom the City and to rep ce public property ' <br /> d � , C�� , <br /> � ` <br /> �. nature oi A��pplicant � <br /> � COPY OF THIS APF'LICATION TO '�nda 9 � 5 u �� �� � 5�� � <br /> r � <br /> BE POSTED �N J06SI�iE. � �.� <br /> CALL EiVGINEERING DGPT. 259-88171 vTelepho �� �7 � � li <br /> 2�: NOURS BEFORE [:ONSTRUCI IOMI � Date � ���� � � <br /> _ - � N �F_ , <br /> CHECK LIST Fee <br /> Water Valve r ' 1 <br /> Drainage p.�G A 0'.J T1�C Dept. v , � <br /> Curb&Gutter Enginee3 74 <br /> Sidewalk / ' <br /> ZQ '7� Watcr <br /> � /1�s �iU9 ���� Street_ ,C� -' • — �� <br /> � Communication3+` <br /> C_I cto�s Signature / - ri I <br /> Traffic � � ,y 7 - I <br /> Plannin � <br /> ��� g 3 7¢ ' <br /> ate <br /> e��SQL�����/�� �.!!� �.G�/N(� �I <br /> Remarks �� � �`Q��/� C-r�/���1g I <br /> Note: Onginal to Cus ome �F��n .f � �/ i <br /> � 7 Copy to File 1 0 lJ 4 5 �. <br /> i Copy to Inspector Approved by � <br /> o ' <br /> Date p o e� � � �� <br /> y�j��� <br /> - - -- - - <br />