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qpp�ICATION FOR RIGHT•OF-Wl�Y USE PERMIT 1 �299 <br /> evesetl <br /> �i /� /;-f <br /> CITY ENGINEERS PERMIT NO.L� <br /> EVERETT,WASHINGTOP� � <br /> � <br /> � <br /> AI,_ t� ,r� Qr� t � �{ r-l�) ' ��_ - —_ <br /> The Undr si9ned �� ��Y'---�-'�`—�� � �'� i ��J � �� <br /> Hereby applies for permission to <br /> _� r f � �1 <br /> � Ilb PPs �� ;�' l �. - 1��� - <br /> At the following location ) <br /> SKETCH <br /> (Work ro be done) <br /> � <br /> /� <br /> miN. i2°cu�v��rt <br /> , � <br /> � ��� � lr <br /> / � <br /> .�� , � <br /> � <br /> . <br /> / ��� � <br /> �' _.. �,_ � , <br /> � <br /> �. ,� � NfiAl C�1�1C: 1)/,�l <br /> ; <br /> � � <br /> � -`�- �. <br /> Q % � R �Xisr �Nc r:i��., ;�F r�or,n � <br /> � �> > uu �� ���. <br /> � The undersigned ownen c�reby agrees to hold and , <br /> DRIVEWAY SECTION save harmless tlre City of Everet[(rom any and all <br /> NO SCaLE claims tor dama9es that may arise because o(installa� <br /> � ZS-�---"-—� tion and main�enance of the improvement herrto � <br /> �p�r•;;d for and f�:rther agrees m remove same �Pon <br /> �i,� ua <br /> �`� I �30 I notice (rom the City and w replace public proper y <br /> � I 30' �T"—'1 damaged there�Y. a /' <br /> t' �—_. ——__-_-_ I � <br /> s�9 i�re ot Anni� c t � o�� I <br /> ;� '> — I <br /> _ nad��--a�<--� lif/�-+�- I <br /> � co��i oF mis n�t�ucnTiora '�u �, 1/ , � 1 <br /> n y— I <br /> IBE POSTED ON JOBSITE. I IJ���V1 J �� �-'�i.J '���' Telephone Number_/�� O I <br /> . r _�._�— 7 ! <br /> � � G11_L �NGINFERING DEPT. 259�R811 '�I I��-? - �-� G:::e .._ _ . //� i � <br /> : II[!Uff'1GIJ�t1f;Ci:cif<'.-�� ;',Url�Of' ,/, --� xYt�1l� L 1 <br /> Fee <br /> CHECK LIST Dept. Approvals l,/ <br /> Water Valve �; D C EQ , /�"L�O�7—�S <br /> Dreinage Enginee � 7 <br /> Curb &Gutter Water ' <br /> Sidewalk Strcet � '' � <br /> � � Communicatio s �`� -" � ��� �� � �, <br /> �- ��,��, � �l �/ 1 _ <br /> Traffic ' / ` ,/i!� � ,.� <br /> � ector'sSignawre Planning �� <br /> _�., , <br /> �� � �� �1 ; '� <br /> _ � S — � <br /> at <br /> Remarks �� <br /> Note: Original to Customer 10 2 9 9 A,nro�����a— � ; ��_75 <br /> 1 CopY to Filc �f l��tt �u' �!� <br /> 1 Copy to Inspector <br /> Datc llpProvc <br />