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APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> everetl <br /> e so432,,��j,�;1� <br /> , <br /> L <br /> CITY ENGINEERS "�j�� _. �� - . <br /> EVERETT,WASHINGTON , PERMITNO. �-- �_ � <br /> The Undersigned � . .- . �. /.�. .f _ `-�' - � �.... <br /> Hereby applies for pertnission to -'�'��%�-v�'.�'/� -�-�� �� � � /��^ �� !��!✓ !� � X-l..�.>�, <br /> � : .�—»o %�.� � �. '`l ,', � _ . . <br /> •��At the following location %�G 'L / — :� r� � �T=o :1 .v . n /}�/L ��- � <br /> 9't . � S� '� � <br /> SKETCH ` rJ �� � <br /> (Work to be done) � l� � <br /> �I � <br /> -�' AUv. :�/iy �' <br /> � �X� r i� '�,.�/ ; ��'C �--V! � � <br /> i�;i;i � ��� � St� .� . ,s � _ � <br /> <i' �� i 3. �.� <br /> �=X/5.— �O" r�'.YC. � r ` I <br /> o��vcvv,:-IY T �.� , <br /> � � <br /> ., � � <br /> . � `)'7� ;�vY .;�' � <br /> � � � <br /> �� , I\, ,I <br /> ,., 1 � �U <br /> �l �;'r ��'� � �=" -�y- <br /> � <br /> ,��- %� v <br /> E�'' ' <br /> i:: <br /> h <br /> w <br /> � <br /> Cf��/FDF���// � � � i <br /> DRIVEWl1V SECTION The undersigned owner here6y agrees[o hold and ��I <br /> rv0 SCnLE save harmless the Ciry of Evere[t from ary and all � <br /> h !/`��"-��—�--� claiins for damages that may ari;e because ot installa� � <br /> � \ �I" LIP `, tion and maintenance of the improvement hereto <br /> f1. applied for and further agrees to remove same upon , <br /> �30'�„___ ____�.30'�,.� ,� f ��`�.� notice from the City and to replacpipLbli�roperty <br /> �.�.- a age thereby. �,. <br /> (}{ � ,;,�I/ i aty�e o�' plicant _. ' 'r✓� <br /> r _� � //ii/i�'7�. �,.�l�`^ <br /> ICOPY OF THIS APPLICATION TO ��! I � JL Ad�reYsm � <br /> � �E POSTED ON JOBSITE. h �y �`��� <br /> � ' Telephon umber <br /> ��.l1LL ENGINEERING DEPT. 259�8�11 .- � 2 � ` <br /> >> r�iour�s ner-or,r corasri�ucnor.� oa�e �l.l �2 �7�i <br /> � clr.' . ,�" —=�-C. 4 � <br /> CHECK LIST Fee� ��T <br /> Water Valve De t. A p�oV <br /> Drainage � <br /> Curb&Gutter /t y�j�7.; i Enginee s <br /> Sidewalk Water e cz�Ct/yeerse�' �GLQ <br /> , � Street ���;yri�_ <br /> I� �--J <br /> �'. ;yu / � - Communications` � - ;� <br /> Inspector's5ignature _,� � <br /> Traf f ic '��,��� <br /> ` / �7� <br /> ,�� , Planning <br /> -/�j / � , Sc�� C <br /> ate � <br /> Remarks <br /> No[e: Original to Customer <br /> 1 CopY to File [!.� <br /> 7 CopY to Inspector �' � `� Approved by / <br /> ��j� <br /> Date Approved <br />