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I <br />� <br />� evcreK "-- APPUCATION FOR RIGHT-OF-WAY USE PERMIT - <br /> e so�o3 <br /> CITY ENGINEERS J L I L.� <br /> EVERETT,WASHINGTON PERA41 i N0. / . � <br /> � ^� <br /> . TheUndereigned �uin�epcC L/._,�p�_� - - ' <br /> � Hereby applies for permission to �'n�/ST" ��� r �� � �n/1�G'��_ y� _ , <br /> � At the following lo.:ation �7 C)� l�:_.���LL`1.!.N�7�'�--�—��_�LL� -- -- <br /> SKETCH <br /> �� (Work to be done) <br /> L <br /> j,,4�`J''�� � <br /> �' <br /> , —� <br /> ' I ��-� � :L <br />, i No Sc�lfr J <br /> I 3 <br /> i� <br /> , <br /> i � —� --- , <br /> 90� � � <br /> , 6t�57o11E� ��R� `I — N��.J c.c�+�c�zETE' 0/W , iI <br /> i G1 V ��c.� -� ZS' - -- � r /� <br /> � / 7� <br /> ---- - <br /> 25 <br /> fe _�'_ -_ <br />, � --- __t -- _ -- , � <br /> wESTo-n��.,�T�R- c1a«o— . <br /> ---- � � , <br /> � DttIVEWAY SECTION Thc undersiyned ownc� hereby agrecs to hold and � <br /> ' NO SCALE aave harmless Ihe Gty of Evr.rett trom any and alt <br /> �� L-- ��--- � - - --� cla�m•. (or Aamages that may ✓ise because ot installa� I <br /> I <br /> i 'I„ LIP T uon onA maimenance o1 the improvement hereto , � <br /> � � applicd 1or and further agrees to remove same upon <br /> I I 30 I —�� 34�.� `� `Y � . t nmice 1wm the Ciq� and to replace pub�ic pronerry I <br /> � � I�__'•i•____ �.�__ _ ._..}._ . ._ . , <br /> dam`a�ged th�ereby. ., l <br />' .Taunt7lC.C_�sl��t�xl._____— �� <br /> Signaw�e o1 Applicant i ' <br /> '�34�Y��i_�'G, 5 � � tvtr�� � <br /> COPY OF THIS APPIJG�IION lU �i Address � I <br /> dE POS-i[D ON JORSITE. � �� �'�00 __ � � <br /> � Telvphone Number <br /> . :;l,LL ENGIP1EfRING DGPL 253-9;� � ', <br /> Date �-^ �[(�J��� , � <br />� � :., �,v�l( I� f��,_�-n{�� I:fJP.:',, �;lP: � ��.��fi �cvD ___/_����T"L.l--�.-�y � . <br /> I <br />� Fee <br />' �HECX LISI' ��_ 7 - i <br />� � Nater Valve �.:}�,� Dept. Approvals <br /> Draina9e ��//, ,:,j_ .,y i <br /> Curb&Gutrer Enginrcr/s'�j <br />. Sidewaik ' Water� y . <br /> � • ------ - - Slrcet�:L.:_ - ' __ <br /> ��u Communications�' <br /> Inspector's5ianature Traffic_ � �� r' � "L�`7�-ll � <br /> �j�-�� '�J __—_—— Planning � / .. . :. � �/�� <br /> -6ate <br /> �!t[a f��f"�_ _..__ <br /> Remurks <br /> Note: Original to Customer <br /> , ��,,,Y t� �,�� 10 a.0 3 -- � ! � <br /> 1 Copy to Inspector ApProved by <br /> � l ___ <br /> Date Approy � . <br /> r�: ..�/ 7� <br />, �. _ _ -- <br />