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everen <br />e <br />CITY EPJGINEERS <br />EVERETT.WASHINGTON <br />The Undersigned <br />APPLICATION FOR RIGHT•OF-WAY USE PERMIT <br />10296 <br />PERMIT NO. �� J �� <br />c — — <br />� .'= i- il � : . �\ C� .a L /- S <br />Hereby apphes tor pertnission to L ur v,; i rc �� �. � i-+ �+� - <br />FENCE 2' F�EN/ND S/��/.✓/�LK <br />At the following <br />2 Qp �o In/ALA/UT <br />(Work to be done) <br />N NO .SCALE <br />-- �� W/a L N U T------ --- -- - <br />K ED6E !�F EXlSTINC� <br />2'(TYP. <br />-NEW ¢2' CHAIiY <br />� lNK FENCE <br />� <br />W <br />J <br />J <br />Q <br />DRIVEWA� SECTION <br />NO SCALE <br />�— __ _ _ <br />I' L <br />�3_0 __ —___-__.__ � <br />�'. COP1' OF THIS All'LIG:71U!! ' �7 <br />RE PVS fE'J ON d0[351TE � <br />20(� <br />�� '� ' <br />� �l . � <br />��� �I <br />i_f�LL eNGINEERING DEPL 259-i3811 ( AI� � <br />1-1 IIG�11"�, ".I:FORf COfJSTRUCTIU'JI ��� � <br />CHECK LIST � O � <br />Water Valve • � <br />Drainage �. /�u 5� �AvE in j/P4S ���rc-s 5 <br />Curb & Girtter i � (� <br />Sidewalk 1,� � ' � � �'1 e��c e. <br />l� C G�/9 < 1' �?'1 �i 1'� yi 51 P <br />�� ►ll �E� � � - <br />,� <br />i <br />! ._ � <br />S/U['WALK <br />�� <br />�� <br />The undersigned owner hereby agrees to hoid and <br />save harmless the Ciry of Everett from any and all <br />claims Tor damages that may arise because oi installa� <br />tion and maintenance of the improvement hereto <br />applied for and further a rees remove same �cpon <br />notice from�t e Ci f� to plape}70blic prpperty <br />damaged i e � <br />! JF4 1/ <br />SignaW e of pplicant <br />��.oOL�� -�vRc.v�T <br />Address <br />�> s ��- i s�,:� <br />Telephone Number <br />1 ocT 1��75_ <br />Date �( rF� <br />/- <br />Fee <br />Ins ector'sSi nature NO� f{ / �i G% �<-�-. <br />P 9 //��GC'H'— JU7/If5 Ttaffic �� 7S <br />�—� ��� -f��i7� /�c.Q CcJ Planning � , �% 'G, �.I <br />�� . � . \ ��'i1'7/t� ��./�1z.. <br />ate � . � �GY-.tt—/�G� ily� <br />��f5/ �G' il ��C% S GL� <br />Remarks <br />i��S�E'.�-� _ 2 � C�4/�4��� <br />Note: Oriyinal to Customcr <br />1CopytoFile �q?_96 /�"�.,�"ce /�'J$��/Z �I <br />1 Copy to Inspector ,cjk �/-L,, //'1i � APProved ny� � <br />cy�ro a/.�J�/vi� C�.O-/ v ozcc�'�/�'-�s-,� <br />Date /1j�piovc <br />