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''� <br /> A''PLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> �,-.«�, ' b 6 7 � <br /> � <br /> CITY EN3INEERS � . <br /> EVERETT,WASHINGTON PERMITNO._ � ' _ <br /> TheUndersigned ��•-�� � ` � � � � �� <br /> Here6y applies tor Herm�,ssion to!� - i- r � � � � � '°' � <br /> .� <br /> Atthefollowinglocation/�Z� �����,n_� -- - - - <br /> SKETCH <br /> .(Work to be done) ! <br /> � <br /> I +`, <br /> I <br /> � <br /> i ' <br /> Ina�. ---- '��C -- — ----- - <br /> �I r.�7RR�� �Nl'� L ----. _---- <br /> ✓r�u:,, Y <br /> i <br /> I 'N <br /> � ' p„�,/�:: �; <br /> I 2� �� _�—__ _ . _ . —� - - � <br /> 1 <br /> .C'.`_ � <br /> � v <br /> = _ <br /> i �T I_ _. �s� ` a _ <br /> —�� <br /> .r, <br /> I`l � . � <br /> � � N�!>�' �e N7�r.i mvsl be a•�([,r�:_r <br /> u <br /> � p� —^ �o �.o✓�Jt' v✓t(r. srr✓•ct . . .. <br /> I <br /> � /./1� Il. .�:.{' �! r1I <br /> i �,. 3,, _._ ... __ . <br /> - l�i �i.ti.t B [) <br /> ; �� 'i '_rmv� �B:f ^7� <br /> /i �� SL � � ' (r � . �. <br /> "_'_V/- ' „ I <br /> _ --- -- - -- - ___ .—_ ' bJ� _ <br /> �r , <br /> ;rh 5 L. <br /> � <br /> DRIVHWAY SECTION The undnrsiqncd owner hen;by rigmes to hold and <br /> NO SCALE .i e'.n1e✓ �1 n e save haimless tl�c City of Lvcreti Irom ai�y and al <br /> L � - - - --- - � - � � t claims lor damages that may arise because of installa� <br /> I E �� d5 <br /> I�� LIP 1_ . f� tion a�J maintenarce of the improvement hcietu <br /> �=.--5---�--� �'� ` ''' �� applied for and (urther agrees to remove same upon <br /> �3o"y r � 3����. .� ��� noticcfroln the City and to re �te public property <br /> ��n�g�d thereby. <br /> i <br /> Signa[urc o pli <br /> . � .;'V� Of� i'115 ,�i-i'Lli;�lllu:d iu Addr�s ,,`'" <br /> .. POSTED ON JOBSITE. Z�Z--�}� Z G _. <br /> Telephone Number <br /> � i�l_L [�1GINEERI�dGDEf�T. 259�152311 lZ— l�—�]�i—_ _ <br /> ,�,i I�I(!I IqS ;;[f�(�!i�_ CONSTRIJl;TION�I Da[e <br /> CHECK LIST Fee <br /> ' � ' � - — -- <br /> Water Valve Dept. AppfoVals <br /> .r / ?f I/ <br /> Drainage �. -7 <br /> Cwb &Gutter Engineers�_T/,�i�-��'�' � �/! �'i.�, <br /> Sidewalk �-- Water��,l.• �EF�"�� ���`(�� ( A�.� '_ '_ . <br /> -- - � � � ., .. .. , ._ . ; Street_.:_."�`��/ � /. � <br /> Communicaticn;,, ����"'�/ ,.%� '-������'�•% <br /> — � <br /> - Insper.�ni's Si,natui � Traffic �� . <br /> Planning — _ <br /> Uatc <br /> Hemaiks <br /> t.urtr: Ori9inal ro C�^�romcr <br /> 1 Co�ry to File '1 n(.��7 � --� — <br /> : Copy lu Ir.yicCa NPPfOve.d�Y <br /> Datc ApP�oved � —�---- <br />