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APPLICATION FOR RIGHT-OF•WAY USE PERMIT <br /> CVCfCU 'a <br /> � 1050 �ff_ <br /> � ;i''- <br /> r <br /> CITY ENGINEERS 7 . _ , -�.: <br /> EVERETT,WASHINGTON � PERMITNO. � " ' <br /> _- j ' � <br /> The Undersigned �""� � � �� f" � � � � � <br /> Hereby applies tor permission to '� ' -� � �� � ' � �/ � �� � <br /> r�� �. . � !�, j'.,s-.-+ �L� � ..-e+ - <br /> At the foilowing locatioo �/� i � _� ,J G,r� 'f : f ,- =.' J�� � - ---_ <br /> SKETCH <br /> (Work tn be done) nn// �i ` <br /> � �� � .1.1 <br /> I� <br /> ii � . � � <br /> �, 3 i '�i <br /> �� �. �; <br /> - — � � r � � <br /> � -------- - ------ - ----- 3� � � <br /> N 4: � � <br /> 1 � � . <br /> , <br /> (� j��_ � � i��, <br /> I ' '�.. I <br /> .� <br /> �rv 7 �l, 3 ��J � �. <br /> ��,1 � -� � <br /> I .�- �.� c,�y -i�, ;'_�`` � <br /> v.1��� • ,�'i � <br /> � <br /> ! 'l Qc <br /> , _�'1� r'E�'v'f >'S <br /> , i <br /> �' �oZi � kE�C/STi.vG H/AJF�2.it?�/ � . <br /> i _. <br /> ,9 -, /, •r' F _ <br /> ' � � � Li=�� f'�?a,- c - <br /> � - <br /> � EXi 5,` vv i1 Sr'-',�?�T G,/P;7'� V� _ -�ri:�.�c=-� <br /> .�� �SpN/>CT Pf�/�EM�N� \ <br /> .__'`i!---- /��.. ��cN�-G, _.. <br /> .� ?��'./�� 1'�C �'�J' 1�C <br /> DRIVEWAI' SECTION . - The undersigned owner hereby agrees to hold and <br /> NO SCaLE save harmless the City ot Cverett from any and all <br /> r---- �S—�--- ----� claims for damages that may arise because of installa� <br /> I" LIP tion and maintenance ot the imFrovement hereto <br /> ` . �� , applied for and further agrees to remove same upon <br /> �30'�I�_ . . . .. . ._.�.39�.{ � �1; no eeH�City and to replace pu ' property <br /> . l.l !' I�� da ged efeby. - <br /> I,�� i o PPh ant /� / <br /> lY \ <br /> —...1 <br /> � , , .. � �,� � �. . . . . . Addres <br /> I L PO;l L U O i� JO1351 i� � - <br /> ' CALL ENGWEERING DEPT. 259�8;,t"i , Telephone Num r <br /> 'a IIOURS I3FFOR[ CONSTRUCIiUid�'�, Da[e _ ^ n / <br /> . _ _ _ _-- ,9 f �/=' 'r . /������. <br /> CHECK LIST `h °,f�' Fee � <br /> Water Vaive D',p ppro Is <br /> Drainage / <br /> Curb&Gutter Engine �� 6 �6 k' <br /> Sidewalk Water '' �/� tin7 �'3 • � '� <br /> � Street��y`y�,�.�, • 1�., (�� � <br /> � / Ccmmunicatio �J-�r -=�t: -,,� <br /> Inspector' Signature TraNic <br /> Planning S 7f0 <br /> ;.�-- `( � � Se w�i- C; t o e- ✓-�l� <br /> -b51c <br /> Rcmarks <br /> Note: Oriyinal to Customer <br /> nv tn!��4 � <br /> i co to Ff�e <br /> 1 CopY to Inspector Ann'o"e��'y 6.-,� <br /> Datr, pproved <br />