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APPLICAT!ON FOR RIGHT-OF-WAY USE PERMIT <br />everelt _ �1 0 0']'T <br />1. CJ � <br />�i <br />CITY ENGINEERS <br />EVERETT, WASHINGTON PERMITIJO._ 7 7—�S�J <br />The Undersigned �� � � � �> ^+ . . �� l��! F_� � = _ <br />Herebyappliesforpermissionto � n���.,� ��1 '�v�,_;li'"r.l � , �'�`"'--r=Ll� �a�z= �`�""�� <br />,� ��/,=c ; C n J'cR?itic.� 1+!- j�/r c' A.'L � �' �,T �' �iZoY'i:_�_7�,. <br />i �7 <br />Atthefollowinglocation r: :c7�_=l tn/�'�1i�1 �= <br />(Work to lx done) <br />� �iJJ '�hC �rJ� > �L/ r✓✓n �i t�1L`M 1�1✓i'S7f'� <br />�� <br />�lOtc'. l�)vl:; /�t��. I).�S1 Cla� �� � i i,���..��lr' -•r{ v./d✓J:l ri'.:i� <br />if�� `YCFS d5 I�I� i �: � <br />>���r7,�J _ <br />a.,d su est�'J !h�• f,. � ., <br />�f <br />,t� S�._:tt ��„� �;,�i,t <br />� % - ! <br />DRIVEWAY SECTION <br />NO SCALE �{ <br />� _— _ I <br />'\ �1" LIP � <br />li �30'�—__ ___-�30''� <br />cor�vor--n�isa���>uct,liora ro I <br />BE POSTED ON JOBSII�E. <br />�i CnLL ENGIfdEERIfJG DEPL 259-flfli 1 I <br />� ��;��u�i�',niror3�coraslr�uc�inrv� <br />CHECK LIST <br />Wator Valve <br />Drainage _ <br />Curb & Guirer <br />Sidewalk <br />Inspector's Signawre <br />Remarks <br />Noic� Original to Customer <br />1CopytoFile 10�'�7 <br />1 Copy to Inspector <br />< <,. �, �.,� - 6. ,.�.� .,� �,. .i ,,i �,.., . <br />�/ <br />The undersigned owner hereby agrees to hold and <br />save ha:mlcss the City of Everett from any and al� <br />claims tor damages that may arise because of installa- <br />tion and mainterance of Ihe improvement bereto <br />applied tor and fur[her agrnes to mmove same upon <br />notice the City and to replace public,property <br />da. d c ��Y� G% � ._ <br />! �-� ��'� <br />N� r=;,� <br />Fee <br />Dept. Approvals <br />Cngineers �� ! ✓� <br />Ccmmu <br />Planning <br />! ._..��.Ix- ,^. -'��/� <br />\ <br />=R u • �. �t.b i '� ` � <br />Approved by <br />Date Approved <br />� j� <br />Z- <br />