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APPLICATION FOR RIGHT•OF-WAY USE PERMIT <br /> everett 10 2 4 9 <br /> `� 1 <br /> CITY ENGINEERS ���-125 <br /> EVERETT,WASHINGTON PERMIT NO. <br /> TheUndersigned � '�Cfl/-�RD J���NS�� <br /> Hcreby applies for perinission to C��N�TR(/C T 2-/S" f-3SPNALT I�� L✓5 faND <br /> LANDSCF)PE DN /�- D� W <br /> At ihe following location /7 zs S/L I/�Q L /�K/= R D <br /> SKETCH <br /> (Work to be done� , <br /> I j i <br /> Z.5 ' '. � NEbr/ ASPNALT <br /> (M 1N.) (�/VEL✓AY <br /> � _ , CArC�tB.9sin/ <br /> �._-��� -�--3 � � � <br /> ND SC l�LE (� I L/a NQSCAP/lY6 <br /> � I <br /> � �-n yl.z�C.,�_,� <br /> , � S�5/77 �•'_; ?o <br /> /e� .STo,�M sEW� Ct1 � 0 <br /> � CUGVERT N �j O(V)���„� <br /> _ r js t= p,�,�-�a �l,.� a-�- <br /> � J� a7�r+/ U�-r.;.n1 a� <br /> lOp. e�'� .�y <br /> ( <br /> � � <br /> � <. � - �- :".Ar r.J Q/t.f Al <br /> �' �.Q°'�.=t`�r Jn.� <br /> � � <br /> � NEh/HSPHAL7' .D/W 3�� � <br /> I 12"COf�CQETE CLILVERT <br /> � DRIVEWAv SECTION The undersigned owner hereby agrees to hold and <br /> NO SCALE save hannless the City of Everett from any and all <br /> / <br /> �-- '�-/,j -� claims for damages that may arise h�cause of installa� <br /> � �I" UP —�� tion and maintenance of the improvement hereto <br /> 30'� � gp� �� �1;r +� apPlied for and further agrees to remove same upon . <br /> �- � - �----���---�.--.� - notice from thc Ciry and to replace public properry <br /> dima�l� :e�by.�A �� <br /> .C�-..�/ <br /> S� naturc of Applican . <br /> /?e ,� �f3sd.�G..� ./�� <br /> COPY OF TFiIS APPLICATION TO �dress <br /> 6E POSTED ON J06SITE ' � �r� ��'�"-'��� �-r�- �/�'3� <br /> C�;:' I "`J��iF��IPCI;INGDEPT. 259�8811 � TelephoneNumber <br /> �'- S- 7s <br /> �.i ii���u�,.� ��r � nr�E coNsrRucTio ��,�� o��� /5 Da �/d � 5 �Y'" <br /> I CHECK LIST l� -1 .CL Fee ' <br /> Water valve � e tf Approvals � <br /> Drainage <br /> Curb&Gutter / Engineer - Lh�� �-�'-� <br /> Sidewalk Water_ � <br /> i • J <br /> Street / <br /> �^ .i. , Communications� � l � .�'r- �- �>� » <br /> � � sp�'sSignature Tratfic � - � 7 <br /> .,. . � Plannin l '� �� <br /> L:' _ i <br /> 'I -CSzte.. <br /> Remarks <br /> Note• Original to Customer -- <br /> � 1CopYtoFile 'jo7�9 �- / <br /> �, i CopY to Inspecror A�1�� .d YJI� l7�%Yl..�titGG �-G-�� <br /> Date Appr ved <br />