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APPLICATION FOR RIGHT-OF•WAY USE PERMIT <br /> everett � - n� �.�' v <br /> � �U <br /> CITY ENGINEERS <br /> EVER°TT, WASHINGTON PERMIT N0. `� '�� � <br /> The Undersigned � �?Jf� E��� 1 L � ��J�':. 1nlILL 1AN� Q{�UJ7 1 <br /> _ > � <br /> Hereby applies tor permission to �,UNS� T�' i/� 1 / � (� ��� ��� � � C-- �� � ��� — ' <br /> �' I- 2 � T <br /> At the foilowing location �� �U " `��� . — <br /> LDi�J `= , �, �+. � <;' .� <br /> SKETCH � <br /> (Work to be done) . —�� <br /> �;, (v h1C l%I t,�l�'/i.�. �%l��/ <br /> �� <br /> - HC) Y T ��V�, ���` <br /> - -- --- -- �= <br /> —_ dY i � . .. .. _, <br /> .."" _.-.. -�, - 4 �.,� <br /> �l/[!�� i <br /> ' , / / ^ � <br /> L- /�/L . C � _ <br /> . .,' - 1 <br /> j � i � <br /> 1 Q..� - � I � - I , ' I � _ .. . . , � . " <br /> 1 ��'C� . � <br /> il�f.'��QC2 � I ;v + i /� <br /> 6ro�E�� � <br /> ;'`NnKe.n�� /S lU - 4/J L (� ��_ � <br /> � ��' � � <br /> ;�:; s, -- <br /> ~+ � vJ ir , <br /> '� / .,�. t� � <br /> _, � �f,e�L � � I_-; <br /> , ,^ <br /> �, _ � <br /> ,,: --�-- � � �, � t � 'i , <br /> ;.,,. I : � <br /> � _ Sn " <br /> � �� C� �{ � ��'' '�-� � <br /> � i <br /> � 4„\; <br /> ,�>�'`•_�\��� � <br /> ���, �>u�, N� �.11 L'UNG. l�/(�l ; <br /> � ���\' - 5(� IAl C U T N�:i.0 �111l1 <br /> I �3 2) C.: �" `�:J `�v :o �; f,) „ � l��g 4✓ ��. <br /> � �� DRIVEWAY S�L"fl ^ � �� '1 The undersigned owner hereby ac�rees to hold and <br /> �� HO SCa�E /�L L E `/ save harmless the City of Everett from any and all , <br /> ' � � claims for damages that may arise because of installa- <br /> � r 2 W ��� 'c:—__--�_" . <br /> I" LIP tion and maintenance of the improvement hereto <br /> 7 �� applied for and further agrees to remove same upon <br /> � I gn�� I 1 �� � � y:,.c� I 30" 4�� _- notice from the City and to replace public property <br /> �'_�1�— r�----'t• <br /> � dama,qed thereby. <br /> � <br /> '' Signature 'f;pbpli ant`� �- - '- � <br /> � COPY OF THIS APPLICATION TO Address � - � - " <br /> � ' ESE POSTED ON J06SITE. Telephone Numbe���—�'��� <br /> !:P.LI. f�dGWFFRIPJG DEPT. 259�8817 p ��I)N. L� � LOIJ ��1. _ ;� � <br /> �, � ;���iuF;S LE�ORL= CONSTRUCTION � Date <br /> -----� 8- G - 7� � �?� ��j -�-��r . ��7�i �� <br /> CHECK LIST � O/ / � � � , / Fee <br /> Water Valve d q er c'Yv/t e 5?d4/� e . Appr vals <br /> Drainage , '� y L;-7�� <br /> Curb &Gutter 1_e � �//` / lC�r� qy�,, a�.f 4 �{,aEngineers <br /> Sidewalk u � d� (J P � � ,'r�ater • � <br /> � <br /> , Street_ i- �. ' <br /> �i <. � <br /> Communicatio '� � "'�Q ' �'7 �5� <br /> Ins ctor's Signature Traffic � -�--�-�� ��JS <br /> ._.� � /�J _ _� �� Planning '� <br /> atc <br /> Remarks <br /> Note: Original to Customer <br /> . 1 CopY to File 10?5 5 <br /> I 1 CoPY to Inspector ApProvec���/Q`' LG^ _���:�.. <br /> �-' � ;IJ <br /> � Da[e pproved �'� � <br />