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APPLICATION FOR RIGHT-OF•WAY USE PERMIT 11646 <br /> everetl , <br /> . ,� <br /> CITY ENGINEERS y <br /> EVERETT,SNASHINGTON PERMIT N0. <br /> TheUndersigned GN� % � /E�L..��C� <br /> Hereby�VPlies for permission to -=F-'�%`�%�-'- �C=Lv n`"*''"��� � ���-r '� <br /> At the following location � L-'� � �'�"� � �� � r, <br /> SKETCH <br /> (Work to be fone) <br /> �7,�J�Z . ����1- <br /> � �` ��,.�a��' � <br /> .� ` '�` <br /> � <br /> Jl��3l <br /> I , �^ 3L� �� CO�,S7rvc� he �i ,y_� Cutiu �, _ _ �� . . - . , . ' . , <br /> ,, ��....,�i � ' . . !,. . � f a�r. , ".� , � <br /> � . 0., c,.,� r. ro,.sl�„�l now � +-r,��h s� <br /> PI Ya9u�.lJi1 . <br /> J r ,���� wA<P � � !`^ '� Y" ' i- - , <br /> evs <br /> �. lp.n�.$�YJf�] QI�o� � r..P\G�� ,. .. <br /> � , . I1. l�. • • �) � - <br /> i.. �-_,`<� ,, .i <br /> 1�� "�- -�� �C�LC/`.'V �i��J !�.'�,IRN(/CJ �� ^I i ." . <br /> / <br /> -��r�iA a���12�,��. ,�% .�r-t-��cc2,�;' ���2� <br /> �� ,� - . <br /> ������ 2,(�_ <br /> DRIVEWAY SECTION The undersigned owner hereby agrees to hold and <br /> NO SC4LE save harmless the City of Everett Trom anV and aIl <br /> I.� --� claims for damages that may arise because of installa� <br /> r� `',� LiP � tion and maintenance o( the improvement hereto <br /> applied for and further a�rees to remove same upon <br /> �30",I�_ _�� noti �`t th rt nd to re public ProPerty <br /> , � �re ll � <br /> C.� <br /> Si n r ot Ap n[ <br /> �`j I -ctii�-,-• <br /> ——� Ad ress <br /> COPY OF THIS APPLICATIO�TO �� _ j�� /� <br /> I BE POSTED ON JOBSITE. Tclep ong Numbe,L� � /' -� �y <br /> i Ct1�L ENGiNEERING DEPT.2548811 �) •� !"7""" �Jy <br /> I 24 HOUP.S BEFORE CONSTRUCTION Date <br /> CHECK LIST Fce <br /> VJarer va�ve Dept. Approvals <br /> Drxinaye <br /> Curb&Cutter Engineers <br /> � Sidewalk Watet __._ <br /> i___—__ <br /> S[reet _ <br /> Communications - <br /> in;pcctnr's Signaturc Traffic <br /> Planning - <br /> r�«— -- - <br /> -„��.,��v�.------ 116 � � — — <br /> Appra�ed by . � <br /> Y <br /> CUbTCMER Date Approved � <br />