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--------- —_. __ <br />. s.. _ <br />, w APPLICATIGN FOR RIGHT-OF-6VAY USE PERMIT <br />. everett - .� r r. <br />� __ . . , b <br />qTY ENGINEERS •�--!�_ _ I "� � <br />EVERETT, WASHINGTOf�� PERNiIT 10. i <br />1 � <br />The Undersigned t C� lxl F-t�. ;� .� �!�-:-.�� !� E i�} <br />. Hereby applies for permission to � �� _� � �--� 1��� �_ i .r''�'E �� I P..I.il �� 1 F7 � i i..) �(� � '� - � '.�L �=1 T�� <br />^ � 1 � r� <br />n l �� �-1 T �� '-� t l. � �. , ` �'1 . : �'r'"•-. - e \ ='' 1_ ^ r= 3�_. <br />At the (ollowing location = " �, <br />(Work to be done) <br />�T'�C':G�ifit-l��✓� ���� <br />i(,�'7- ��,� ,�t�v� <br />� <br />DRIVEWAY SECTION <br />NO SCALE <br />� � �I <br />� �1" LIP __ <br />�3�� -__'- _ _ . � "�"- �. <br />COPY OF THIS APPLICA7IOi�i � O i <br />BE POST[D ON J06SITE. <br />CALL [NGINEERING DEPT. 259�8311 <br />24HOURS6EFORGCONSTRUCTION <br />CHECK LIST <br />Wator Valve <br />_f e..�.,.�.__=_t _�.__ - . <br />._ _—_--� � - a <br />�,) � tC,AL� <br />�---�---------------- _�___ <br />�_ <br />- �--- <br />y <br />�r� <br />'1`�1�� i o;�� <br />�' <br />Nl <br />J�`�� <br />,. , _ <br />>,:1 _: <br />� C�'l ST D I�,�i �, � <br />� . . / , � i / . � <br />fl 11 � N 1 I. . -/ <br />pc.,�J�n <br />r_;, s,�� <br />Tho �inti��i�i,�netl a�vncn c�rebq a;rets :o hold and <br />�a:c ii;,:m6;,s tl���c Cit}� o( Lvr.re;t trom any and all <br />claims for damages that may arisn oe,;ause of installa� <br />tion and maintcnance of the improvement hereto <br />;:pplied for and fivther aprecs to remove samc upon <br />r.otico from the Cit/ and to replace puhlic properry <br />2S:t— 3i� r <br />Date <br />—/ 7—?=L — <br />i � Fee <br />p�c�' n r��i i=� Dept. Approvals <br />_ �-� _r7�i <br />Drainage "• <br />Curb & Gulter 1 � . Engincers_ _. <br />Sidew�alk �;��' ��� � <br />- vl %� �L <br />Iq5 �ec or's Signature /�v <br />(i <br />�; y <br />aie <br />Note Orii�inal to Custon�,�•r <br />Ccrr.�nunications__ <br />Traffic <br />