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� <br /> APPLICATION FOR RIGHT-OF•WAY USE PERMI7 <br /> everetl 10 G 11 <br /> � <br /> �� GT'f ENGINEERS r-- ' � <br /> � EVERETT,WASHINGTON PERMITNO. �`�' � �'-� <br /> � i.; . <br /> TheUndersigned - ��-i���� �� � -- <br /> Hereby applies for permission to_�� ���t�i_= . -' F �"� �� �" �' �'�� �� � <br /> ! <br /> At the fo�lowing Iceation_./� 7 � - � �/ •�� � � % �< �- �=` �' `1- '— <br /> SKETCH <br /> �Work to be done) <br /> i�k�r <br /> � <br /> t `�' 4° <br /> � _ � c. '��,.a ' / � <br /> . ��� qrJJ{ �1• � � .J^- <br /> � �y��1�.>Ci% ,�JIJ ��ra.�^ . <br /> I IrJ` 5�.�1,11 <br /> i <br /> J , � <br /> I = <br /> � <br /> � <br /> � r1/o `�'j� e <br /> � U Y� \ `\ L��'S ��/�'I�16 <br /> � <br /> V {t <br /> Y � � ,. <br /> m L__ <br /> � _ <br /> . � <br /> I <br /> ., <br /> > , <br /> �; z <br /> �_ <br /> � <br /> � ; <br /> . ,�� —_� <br /> " �� <br /> r <br /> �`i — — <br /> � �--�� �--,a <br /> � DRIVEwAV SECTION The undersigned owner hereby agrees tr hold and �, <br /> NO SCALE save harmless the Cily of Everett irom �ny and all � <br /> �-- --� —� claims for damayes that may arire because o1 installa� <br /> �I" LIP � tion and maintenance of the improvement hercto <br /> applied for and (urther agrees to remove same upon <br /> I 30��—T _._ _._ __�30'� notice from the City and to repl ce public property � <br /> �' 'Y' ' d� d r�R f� '�. <br /> �, ig a ure ot � �nt . <br /> �%/J />i-,F �' 7C � _ <br /> � COPY O�TIiIS i1PPLICATIOfJ 1 O � Address <br /> � / Si 'r) <br /> B@ POST[D ON J06SITE. ��, �`��� <br /> Telephone Number <br /> CAI.L ENGINEERING DEPT. 259�8811 � /� _ <:i� /{� <br /> �� 74 �10Uf75 t�E�=OR[ (:Of15rRUC.ilO`d' Date ' <br /> CHECKLIST Fee �--'�� ��� ��"J I � <br /> Water Valve Dept AppfOvals . <br /> g �, y� � ;, , , �' ' <br /> Draina e <br /> Curb&Gutter Engineers � �L�*��%`�^-� � � �'�- <br /> �� Sidewalk Water���{�NI �-z-��� �4 <br /> _ � �t ,c , ,, .� _. .. . . ._ �.� . ,_ .. ..� , .. _ Street /' " ' { . <br /> � � "'✓' Ccmmunications <br /> � spector s Signature Traffic <br /> � : � i; . . <br /> � / Planning_ , � <br /> .. . .� i=l Ci �t.:e: 4J T �.,� � v �t � �'�K/�L. <br /> e <br /> Remarks <br /> Noie: Originai to Customer � , `� <br /> iCopVtoFile �OF11 � � ' <br /> 1 CopY to Inspector Appfoved by� � , . �— 2 i.�� <br /> Datc Approved �' <br />