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APPLICATION FOR RIGHT-OF•WAY USE PERMIT <br />evi_rcrt . 1 � 18 9 <br />� <br />CITY ENGINEERS �'�.�':� ��� <br />EVERETT, WASHINGTON - PER AIT NC._!___ __ . <br />TheUndersigned � � ���'� � <br />Hereby applies for permission to �� M1 t"i � ' / �� � "" '' � '' , �� �'"''�y <br />At the following location__ _ ' " <br />SKETCH . <br />(Work to bc done) <br />� <br />DRIVEWAY SECTION <br />ND SCAIE <br />�--- �s ----- -� - -- -"I <br />� \ 'I" LIP � <br />i-'�'�{----r /D' - --{-'°��-I <br />COPY OF T IS APPLICATION TO <br />BE POST[D�N JOBSITE. <br />CALL ENGI(�EERING DEPT, 7E9�9R11 I <br />i <br />7A HOURS �EFORE CONSTRUCTIOP! � <br />CHECK LIST <br />Water v;dve ' <br />Drainage � <br />Cwb & Gutter � <br />SiJr.walk <br />/`,-- / � _�//L� �% � /. <br />Inspector'sSignature � � � <br />i <br />�,_; l <br />Remarks <br />� <br />K <br />L>I _ � q�5 <br />� , ,,.'Au; _ I <br />-. i \ <br />;U/;,ti; �yRpO` I <br />— N�„/ cP'�Ciif-G �j�'IV£WAY <br />N� <br />S��L � <br />,� <br />�xi�Ld:' CU��,�or(iY,' '� <br />.— � S�pa'✓a�K <br />The widersigned owner herehv agrees to hold and <br />save harmless the Ciry of Everetl from any and all <br />claims (or damages that may arise because of installa� <br />tion and maintenance of the improvement hereto <br />applied for and further agrees to remove same upon <br />notice from the City and to replace public property <br />Date � / <br />7 � �n ,�-t J > > ^ <br />Fee <br />r� IN ; Dept.,Approvals <br />�",�`' \ Enginc�a�J� .� ..%�'G<�«Gk u 'S— �Z � �� <br />Water "� r <br />Strect "�� iF�-��, � <br />Communications � �9 � S — ��� <br />Traf(ic <br />/ � %S� <br />i �' v �'l S �71 <br />Planning <br />Note: Original W Ciatomcr ,��^���-- <br />, �o�Y ,o F,�� 1 p�. R 9 , <br />1 CopY to Ins ector Apprpv�. ;-� //�� � � / r <br />� /--G � ( i' c:l.�%C�/2��/f/VJ` 2�� <br />Date Ap roved �� <br />