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APPLICATION FOR RIGHT-OF•WAY USE PERMIT 1G 497 <br /> everetl <br /> e �d�2 <br /> CITY ENGINEERS PERMIT NO. - ! � �' `� � <br /> EVERETT,WASHINGTON <br /> The Undersigned � T r �S v � t� <br /> t �c 1 a a � A � '�/ C t lC S 1^✓. _ <br /> Hereby applies for permission to�L , <br /> At ffie fo�lowing location_ 's: � � sc a v' � '�� <br /> SKETCH <br /> (Work co be done) <br /> � �I ..f.�i. I�IRC PL :/�. <br /> IV � . _ _ __—"_.__'__—____�" __ <br /> 1 � ',4U "_. ..—._"_ , , , <br /> ti � � <br /> \ ' <br /> ` ' ': y <br /> � � c ' <br /> ' � � - <br /> � ll 1 j <br /> �� � � 7 <br /> � �� 'iQ <br /> i � <br /> �n <br /> � j�•-'" i <br /> �5 I <br /> �„ � � �'N4 <br /> - y `1 0 <br /> � A i� �. <br /> W�, � � � <br /> � { '� � _�=t �. <br /> ,�� � � <br /> J + 1 1l'. -/4 wnr�Q, <br /> � <br /> i <br /> � ? i ' �' /�I '�. <br /> . {�W �. j i' -.�- . <br /> � � y � . � ��in' D_� �%� r� -- <br /> � �� �� �s's o•-- _-�,� ��'� Nor�� �� <br /> • l -�' Se.�rn�e �r�,�n�,f�° : �".;rc 'lo oncf �n <br /> '/ � '�� 7h�8 o�FO - .:l�o�ni �,� nr�0��9. <br /> u <br /> � =1 � /.�i G�fJ.I-1/£:'T JI./NI=�.� 7'd P/?OV/QE N��c rtA�'y r��•�r+ce �?�ljEf/ � <br /> ILXIST/NG� <br /> ��Q Plo .;� � l� <br /> % :� J� ' �4�)G <br /> ��o � <br /> _ <br /> ' DRIVEWAv SECTION The� undersigneA owner hereby agrees io hold and <br /> �� d0 SCl+LE save narmless the City ot Everett(rom any and xll <br /> z �.________.�I claims for damages that may arise because of install�� <br /> � � tion and maintenance of the improvement hereto <br /> � ��P �' i applicd for and turther agrees�o remove same upon <br /> � _ I 30'� �� l'� noti-e om the Ciry and to replace public proPerty <br /> 4„30+_ ___ -___. _ . _ .� - da ' th� ' I <br /> �� <br /> Si4nature of Appl�ant �_ �,(�/ ', <br /> �';71�:1�-.�-��'Jei�.�X1— ._--���C4- <br /> ��. (�,i;PY Or THIS APPLICATION TO I Address _ • <br /> - I(,`` � � 2 � ' <br /> I fif POSTED ON J06SITE. Tel phone Number <br /> ,�.;,i_LfIJGINECRINGDEPT. 259-Hl311I � ' <br /> � >; !i�iUHti L3GFORE CONSTRUC"i i��^!�I Date <br /> � r ,- -_ .. �(. l�;/ [� <br /> Fee <br /> CHECK LIST <br /> Naier vaive Dep A� rovals L <br /> Drainage Engineers v <br /> Curb&Gutter <br /> Sidewalk Water "- w rf1A r - rG�e ` '� J � <br /> Street <br /> Communications �/ <br /> Inspecmr'sSignature Traffic ���"J7���"'�*��+/�.�� �.- - - <br /> Plannir_-i"//*���1 ��/�7 / (�A/ 7L.� . <br /> / f7 ./ r .T7r <br /> Zf"i.VG 1/� �No c' f3-q'Iv / �S /1��.,�", . <br /> ate ---- , r <br /> Remarks --- <br /> Note: O�iginal Io Customer �� ^ 1�� � rn <br /> n— <br /> 1 Copy to Filc � <br /> qpproved b� .�, 2-� i <br /> 1 Copy to InsP«tor ' �'� � � lL:-- - <br /> � '����.—___——_ <br /> Dile ApP�oved <br />