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qPPLICATION FOR RIGHT-OF•WAY USE PERMIT i0, 49 <br /> everetl <br /> e ��- 4 � <br /> PERM!7 N0. <br /> CITY ENGINEERS <br /> EVERETT,WASHINGTON <br /> � .�r+� r� ��^--'✓%��:c�� � f��/dGGdi4S� — <br /> The Undersigned ,,,,,,,�Ta��� , ,I3 ,�' ,�IS�/-��4G r <br /> Hereby applies for pertnission to. <br /> ssa ���' o � wE sr rz i v —_�— <br /> � <br /> At the tollow�n9��ation�-- <br /> SKETCH 2" STANDP/PE <br /> �Work to be done) _�__�----�--' <br /> _�� <br /> WEST DRIVE <br /> 40 ' � <br /> ,`5, <br /> Ep(� pFFXISTlNC� <br /> PAVE/�'IENT <br /> —NL' In/ ASPHALT <br /> � L1211/E�t'/�Y <br /> , <br /> si`-a 9 <br /> lZ �� <br /> i NO SCL�G� � <br /> � The undersigned owner herehy agrees io hold and , <br /> ' save harmless the City of Everett from any and all <br /> DRIVEWAY SECTION <br /> � NO SCALE _� claims tor damaoes that may arise because of insta a� <br /> �—"— tion and maintenance of the improvement hereto <br /> � �y � applied for and turther agrees to remove same upon <br /> �� �� ��P I �j-�S�% ' no[ice from the City and to replace public property , <br /> i 30 _ __�Q--- � --�30-'1 damaged thereby.` �� � � <br /> {---�-- 7�o-�G��1� ` <br /> � Signature of ApP � "��� . <br /> > ,,�_ �>>f,n. <br /> . . - � q dress � .,�...� �5�' — S`�� `��_— � <br /> � COPY Of- THIS ANPLI��ITIOW 1 U � Telephone Number �. <br /> I !3E POSTED ON JOf3SITE. ��� __ — , <br /> � ------�-- <br /> CPI L 1.�GI�dCF.RING DEPT.259�flfti 1 � / Date �� ��l'7 "')� <br /> s.l,)�� � �� r ,• , <br /> � �2�11i0UR; [31�i�ORE �:ONSTR�iCTION� � Fee � <br /> CHECK LIST � e t. Approvals <br /> ' Water Valve ��r'j��"C! � <br /> Engineers <br /> Drainage j� <br /> Curb&Gutter Water ,. �. <br /> . Sidewalk � .� Street�J',`���'��`��` ��.- �.. �a,r <br /> � J� CommunicatioJiS �� <br /> : I ; �J��a�i�-' i �' '-�__ 5 7S <br /> - Traffic ' � /` � �-ZS"'TI <br /> Inspectoi'sSi9nature planning" � � <br /> (- �. <br /> J <br /> -- <br /> �3tC <br /> , ' _" ' ' ' . . � ' / � <br /> ���_�� .• -��---��� <br /> Remarks <br /> Note: O�iginal to Customer �0� A � q�rqyed bV . �. %� /�/ � <br /> 1CoPVtoFilc « C l.iL(.F'� � k� ' . r'LL�. .� <br /> 1 CaPY m Inti{;sr,tnr . <br /> Date Approved <br />