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� <br /> r APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br />' everett i ' ' ' <br />' � SNI� �i Gi — <br /> I <br /> CITY ENGINEERS �� � <br />, EVERETT,WASHINGTON PERMIT NO. _ <br />� The Undersigned —�N�������SH CDUN 1—Y ��L/� !iV/���;TE D/S/�DSf4L <br /> Hereby applies for pertnission to C�NSTR UCT 29 ' /�SPN/-�LT L�2/VEWAY _ <br /> At the fo��owiny �ocation_29 Q �'�. — 3 � T'`/ S T`_ – <br /> SKETCH <br /> (Work to be done) <br /> i <br /> I <br /> _ . ______._. _ <br /> i ----- <br /> � 3� TN ST. � <br /> I <br /> � - -- <br /> - -- <br />� EX/ST//VG PU�� T_ <br /> I <br /> i <br /> N � /1/E/n/ AS�I-IALT D�I��:' <br /> \ <br /> No ��� <br /> , DRIVEWAY SECTION S� S}'�r � The undersiqned owncr hereby a9rees to hold and <br /> ' NO SCALE save harmless Ihe City of Everett from any and all <br /> � � Z��— --—+I claims for damages that may arise because of installa- <br /> [ion and maintenance of the improvement hereto <br /> I�� LIP applied for and further agrees to remove same upon <br /> 30 I ^ � notice from the City and to replace public property <br /> I �-•T'-_---�"►-___—�•3� <br /> damaged thereby. <br /> � Sign re of Applicant <br /> � <br /> - - .. . _ � --- . _ ... - -- Address .. <br /> I f,OPY Of= ��I-11S F�i'PLICATIQi`1 �i��� ' i <br /> ' � 3E POSTED ON JOf351TE Telephone um er � <br /> C:ALL ENGIN[ERING DEPT. 259�581 ��. �,,/� Date � s/�y�-��P���� <br /> 2-: !!=�nRSf�EFORFCONSTRUCTI0Pl�1 � ,.�� �� /-C� �'7�`�D� �-� �� <br /> �y <7 <br /> CHECK LIST �j� Fee �,yJ <br /> � � pt. Nprovals ����� <br /> W2ter Valve ' ��_Z <br /> Drainage ' �Y7tiGG Z^�-�.� <br /> Curb&Gutter Engineers <br /> SidfJvalk ,� ., Water • � <br /> � � �� I// � Street � � <br /> .L�. ,�U_ -' �� � y� <br /> Communicatio�s <br /> Inspector' Signature Traffic �``� � �5 <br /> ; r^_ � <br /> ��i� � <br /> Planning � � ' r'^ <br /> —6 t3 e ` <br /> Remarks <br /> Note: Original to Customer _ <br /> 1 Copy to File ' R� �O qpproved b <br /> 1 Copy to Inspector <br /> I Date APProved �_ .� ,..��,-f "���7 �— <br /> / f;(�. <br /> � �_. .--•-----�i�:-�—� ----,, �._.T .-..�- <br /> ___�.___� ._...� ___._ ;:r-��� <br />