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evcrcry <br />U <br />CITY ENGINEERS <br />EVERETT,WASHINGTON <br />APPLICATION FOR RIGHT•OF-WAY USE PERMII' <br />PERMIT <br />�0131 <br />75-18 <br />TheUndersigned_r�i�ALD BP,OTHE�S <br />Hereby applies for permission to G7/VS7'RUCT 5/DEWALK OM C/%Y ��Z-4� j�. b_� <br />At the following location �d /9 NOR TUN AYE. <br />(Work to be done) <br />� a��snNv ��acx�;; s- - <br />EXISTrN(� SID�W/JLK <br />/?VE. <br />C�/f7 �� �3 r`�Sec7� on5 <br />�,�Q;�,;,y ,���, S. �„� <br />Qr7l�f�/A/v� ���f�o�5� <br />ALLEY <br />DkIVEWAY SECTION <br />NO SCALE <br />�. r- ---- - <br />t'3Q i _ '__ _ __ _ .. . __� <br />� ����-��"�;I �iIiSAPPLICATIONTO � <br />���.; I�n;.l i � ON JOBSITE. � <br />����LL I.:�JGINELRING DEPT. 259�887 I <br />.'� � IUl'RS P.� POR� COfJSTRUCTIOfJ <br />CHECK LIST <br />Water Valve / <br />Drainage <br />Curh & Gutter <br />Sidewalk <br />— — �'" <br />� <br />r ,. - � �/ <br />, „ �, t <br />Inspecror'sSig, ature <br />Remarks <br />Note: Oi iginal to Customer <br />1 CopY to Filc 1 0'�...�'� <br />1 Copy to Inspcctor <br />�' - <br />40' <br />NEh/ CdNCREI'E SIDE1�/qLK <br />f�1RklNG AREA <br />CA76TH BASIN <br />�-}-- � ---�-__ <br />_ _ i1.Y1 SC/-)LE <br />The undersic�ned owne� hereby a9rees to hold and <br />save harmless the City of Everett (rom any and all <br />claims tor damages that may arise because of installa- <br />tion and maintenance of the improvement hereto <br />applied for and turther c�rees to remove same upon <br />`.l��! q <br />l L <br />� /�� <br />Fee <br />Dept. Approvals /� <br />� � ��4i <br />Engineers v " x q�= / %S, <br />urarer ' C <br />Street�t_1j_� _ 7�— <br />Communication� •-!�; � _-�Q�.� p � , <br />v • — <br />TraN;c -'�" '� i7 s� <br />i <br />Planning � 2'G4�7S <br />Approved by ',/ ; <br />,�I"�L".+'(c! - .- ; �, ,� -;��:,� _ <br />Date APP�oved� ' ��� - , .. <br />