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:4i�.� <br /> • APPLICATION FOR RIGHT-OF-WAY USE PERMIT ��2$1 �'�''�: <br /> erverett <br /> J . k� � <br /> CIT'/ENGWECRS ( � ' <br /> EVC'H'eTT,I"JqSHINGTON PEflMITNG..�6 � �� � <br /> Ihe Undersigned_j�.`( '.t �/� f�, � d�/ �(=rj ' <br /> Nereby applies for peimission to��L.�, �� � f=� ��',L+�� �i7%�; _ <br /> _/ <br /> :,� th�followin9location `'�� V • - �4.i, . <br /> SKETCH <br /> (Work ro be dona) �� <br /> � <br /> w <br /> r' <br /> ti.� <br /> � <br /> i� �. <br /> . U��I �� J,�,E�' . ' <br /> x <br /> LN� / / ' ' f�� <br /> ` � � !. <br /> , ' �� / a. <br /> r^ �. 4 <br /> � � � � r � ����L� �� <br /> I( f"� � .—! / � / f `� <br /> � �Z � �� <br /> � <br /> 5�-----� ° � S <br /> i. ,��, � �„�; <br /> c � �,,.� < <�.- ��v � <br /> C " (S��° � <br /> � e �-�� �� `, �' <br /> �; ,,���- ��— ,. _� _ �. <br /> � <br /> DRIVEW4Y SECTION � The UnderSignec owner hereby agreet to hold and �� <br /> � No SCALE save harmless the City of Everott from any and all � <br /> � claims for damages that may arise beeauaa of inswlls� l. <br /> 1��� L�P :� tion and mainMnance of the imprwemant heroto � <br /> 30„ I _ jo., applied for and furMer agrees to remov��ame upon � <br /> �Y' notice from the City and to rcplace publie property ;' <br /> dama there�� j� <br /> .. � i� <br /> aignature ot Applicant ` <br /> y7i� r'�i/�� i, <br /> �:OPY OF THIS APPLICATION TO Address ��, <br /> ! 9EPOSTEUGN,106SITE. 0�.5 � �f�� P <br /> i Telephone Number � <br /> � <br /> i CALL ENGtNEERiiVG DEPT.25&8811 � / ' <br /> I �4 HUUHS BEFqRE CONSTRUCTION Date � <br /> L�._ <br /> � CHECK LIST Fee <br /> Wate� Valve <br /> ' Draina9e Dept. ApprOvalS �I <br /> s <br /> Curb&Gutter Engineers ' <br /> Sidewalk '' <br /> Water ` <br /> � /��� Street ` � <br /> ! �- %; ;t <br /> Ins��sSS� Communications '� P <br /> ' Traffic '�� � <br /> :� <br /> ._ ..� / -- �L�' Planning E <br /> �ate �j <br /> � /` -- —' _,� F <br /> Remarks � ' ��' <br /> 11.231 <br /> Approved by -- li.A` �•:• <br /> ,;:it: 'fi` <br /> CUSfoMlx Date APProved •.�'�'�� . <br /> (��;c <br />