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APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> �����n <br /> � :, <br /> I.iJ �..� <br /> � <br /> CITYENGINEERS PERMITNO. /�— � I <br /> EVERETT,WASHINGTON <br /> P�e Undersigned �• S� T CQN'S / f���� i��/✓ <br /> Hereby applies for permission to �'ONSTR UCT �'�� CL)/vGle�� �lw � <br /> A:the fellowing location 42Z �HS7 Lf/EW /Fl{JGE D�P. __ __ __-- <br /> SKETCH <br /> (Work to br.done) <br /> ;_X lST/NG EXT�PUD[I�D �u�B— <br /> �✓EW CDNCREiC DRIVL-WAY �.• <br /> 1Z�TE' JRIVEf�✓,4Y MUST Cll-AR CRTCN6451N Q <br /> --- -- ------- ��C! <br /> �� <br /> ;�.22 � �T <br /> �� <br /> _ � <br /> -- wQ <br /> �o' �vo sc�uE <br /> DarvEWAv SECT�ON The undersigned owner hereby agrees to hold and <br /> NO SCaLE save harmless ihe City o(Everc[t from any and all <br /> �— --- � --� claims tor damages that may ari;e because of installa� <br /> � 25 — . ticn and maintenance of the improvement hereto <br /> � <br /> ���� �'� — applied (or and further agrees to remove same upon <br /> 30' � � 3O" r�; notice from the City and to reU�ace public properry <br /> r...__.1.---�' -(j—___�'—_+a [i��.. ' _ <br /> da g d reby <br /> Si� t lican[ _ y � <br /> „�/� 7— C.Cr,is� l/i��20-3 <br /> COPY�OF THIS APPLICAiION TO ' Addrcss � <br /> RG POSTEb ON JOBSITF. � Telephone Number ' <br /> I L�:GI�J� I PIr�G Dff i- 150R811 _ <br /> lil'U'i'�. iJ�rr_ !;( -11L'�C: I��i�� � �BM --�� <br /> /2.SO � i'� �-S->> <br /> CHECK LIST ���� ) Fee <br /> De t. A rovals f <br /> lNater Valve 2' P p P ,(� ��� � _ <br /> Drainac�e �� %L� Y �, ,/7Yii'Y-«`=�`� 3 7 <br /> Curb&Gutter Enginee� � <br /> Sidewalk Water <br /> .� � Street—.�,..�11..� .� <br /> i : <br /> ' i� Communicat�s ��� �'� <br /> ! , � � <br /> mpector'SSi nawre � I � Traffic�_� - `�-7� -- <br /> , ; r � , <br /> . Planning — - <br /> .'J� _ � t <br /> D�ic � <br /> � Remaiks -- <br /> N,�:�. urlg�nal to Customer __ <br /> I C.ol�� ?o Hh�. � I�� i '� � — ` ;' � _ <br /> �pproved bY� ;�C� .. . .-��. . <br /> . � <br /> I Cop, , � InsP��clor . .._ _'_ " ' <br /> __ ____ — __ _ _�:.�.:=1_ <br /> .'dl.. � ' .t „ , . <br />