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everett APPLICATION FOR RIGHT•OF-WAY USE PERMIT <br /> 10453 ��� �' <br /> � ✓��71,� <br /> CITY ENGINEERS 7� —87 <br /> EVERETT,WAE<'iNGTON PFRMITNO. - � <br /> The Undersigned T/j o na r, ( t t�C/.� n /7 C � <br /> Hereby applies for permission to_Cc n c�ri� Cf /S � A< J/� v�N _ � <br /> i <br /> At the foiiowin location f� � <br /> s _� � ���.'13Q c rn nc( �(/c _ <br /> OFF o�= �'i�.� f��. <br /> SKETCH <br /> (Work to be done) ,� !� ' <br /> � � i <br /> ; io f, <br /> Q � �` l .�_u�rAG.S Or:r)iNS�E <br /> '� � � � _� , <br /> y �.,.:« r, <br /> � � � / �� �.r. , ,� �,i. �� <br /> I I �O '} \ 933n ` <br /> Q � C;•o.��,� <br /> j )� ' � <br /> i <br /> � `' <br /> ^ �' <br /> � � ��� ��-, <br /> �l � w..r�. \ i <br /> j � \ <br /> `P/ <br /> . �4U1 TF,o,qSo:, F�.i� 7L�__ <br /> i <br /> : <br /> 1� r 1.� <br /> i i <br /> i ; <br /> � � � , <br /> �� v <br /> I I <br /> I ^ � <br /> 3 <br /> I <br /> ' � <br /> i <br /> i rlo �S« /� ; <br /> DRIVEWAv SECTION e;�., O� �J The undersigned owner hereby agrees to hold and �� <br /> �<'-<L•L <br /> , NO SCALE save harmless the City ot Everett from any and all , <br /> �, � l.— ���2�i—_.�.I ��o c��L claims for damages that may arise because of installa� <br /> ; I I <br /> I'� LIP <br /> tion and maintenance of the improvement hereto <br /> applied for and turther agrees to remove same upon <br /> �30'y_________ ,____�30'� notice irom the City an ;r ublic properry <br /> dam� e ereby. � <br /> ��,� ` gnature of Ap " nt , <br /> . . 3 <br /> � cof�v o� ri+is ni�i�ucnriorv ro ', Ad ss <br /> BL POSTED ON JOBSITE. ��. '� � ' <br /> Te ephone Number <br /> cn�i_ Er�cir�E�nin�c oErT. z,snei i �S�— �4/J� i <br /> � :4IIOlIRSLFFOHECONSTRU(;TION'� Date � I, <br /> —r� 4�z��c� i� s� <br /> � CHECK LIST Fee --/�-��-�—� � � � <br /> � Water Valvc � ' - �'J� ��� g ' <br /> Drainage De t. Approv 15��� 7f1-'>►'1,dfC�e/ ' <br /> Cur6&Gutter En�ineers '� I <br /> Sidewalk Water O asr o o �e -Pl� � <br /> Street��� �,J� I <br /> _ _ Communicatio �z� I <br /> Inspector'sSignature Traffic - � �' � �� <br /> Plannl � � i 7�7r <br /> ale S n ti- � �C. TOH ris �r� <br /> Remarks �' � <br /> � Note: Original to Customnr ' <br /> � , �o,�YtoF��� 10453 / <br /> � � 1 Copy to Inspector Approved by V.�(� <br /> Date A�e� <br />