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APPL'^4TION FOR RIGHT-OF-WAY USE PEEMIT J <br /> everetl <br /> e zo5�� � <br /> ��J . �� � i <br /> '-' i�!7 � <br /> � CITY ENGINEERS � i. � � � <br /> EVERETT, WASHINGTON PERMIT N0, 7C.� —�G-7 � <br /> . The Undersigned LA�_��-�E L f-t_ l_ H�� ��{ 7�__ (..�_ . , <br /> Hereby appl�es for permir.ion to yo,.-� !-}�(-,}{_�C(�',� Gi f�j (� � �-cT� R_C`_� ' j <br /> I <br /> At the iollowin9location_ I�J� v� 1-� �-11-�� _ I <br /> { <br /> SKETCH — <br /> (Work ta be done� I . <br /> i <br /> , I <br /> 1 dl/¢ � <br /> 2 /�/Z � I � <br /> n <br /> 2 � �dti— , � � <br /> � � , . �� � <br /> 4^ ' Nic.i-I �r-Ncc ' �- <br /> � <br /> j � <br /> ,NCTE; l'v RTER St�iCE I 5 � <br /> �%� +c 3' I,�EEP - )=IZc.?/y I � <br /> C u Ra sTop. ". <br /> n/D SC�L� <br /> , � � 3 -=� <br /> DRA►�K �5 <br /> i �'� � � 7 � �, ' ��� <br /> /�- /� ° i ; <br /> � ' ��` ' <br /> ��L <br /> DRIVEWAY SECTION The undersigned owner hereby agrees to hold 'and <br /> INO SCALE-- save harmless the Ci(y of Eveiett from any and all � <br /> I � X -� claims for damages that may arise because of installa� <br /> I I" �IP tion and maintenance of the improvemen[hereto <br /> �—ti —� <br /> L30 I 30" I ' applied (or and further agrees to remove same upon <br /> I I'—�--�--------�'t'�—'1 ij'l��; , notice frum the City and to replace public properry <br /> ' `�- � da ed thereb . <br /> �4 Y <br /> ; l��Ai.f �/�.n/f�rl,�� <br />� $ign'aAu�o Appl cant' V — <br /> '� —---- ---- /��� �',.�,tp0 <br />' ' COPY OF THIS APPLIC��i�ION TO� Address q �i — � <br /> BE POSTED ON .IOBSITE. pZ? / ' �(�Q� . <br /> CALL ENGINEERING DEP-L 25y�8611 Telephone Number ' <br /> �. ?4 HOURS 6FFORG CONSTRUCTION Date <br /> _ . . ._. _ . _-- --�- -_._ , <br /> ---� <br /> CH9CK UST <br /> Fee ` <br />� � Water Valve � Dept. Ap ro al5 <br /> I Drainage <br /> I � Curb&Gutter Enginesl -' +' - �� <br /> Sidewalk - � <br />� Water sta tr �c ^ C r �� <br /> j Street ��"� <br /> i — <br /> ��. _ Communica 'ons <br /> : Inspector'sSignawre Traffic ���*'`�� �� ��r, /�� � <br /> Planning � ' <br /> F i at� — �r � �✓!� ���. <br />' ' �� Remarks � <br />� _., ...._..,. . y <br />. Note: Original to Customer <br /> , �o,�Y to F��r 10 5 41 — — <br /> 1 Copy to Inspector App y/_ � <br /> t�F' <br /> Date A proved <br />