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� � .. . <br /> • ' :i:`PL�i•ATION FOR RIGHT-UF-WAY USE PERMIT <br /> everei� <br />, � �_1n560 <br /> I ' <br />� CITY EN��NEERS . <br /> � ��_ <br />, � EVERETT, WASHING'i'ON , PERMIT N0. �` �� <br /> j i TheUr�dersigned_ - _.�1 � - � � <br /> li <br />� �I Hereby aPPlies for permission to - ',,.. ' .i p�: f I i j /ti � i/ -. ,."' `.'r J � 7"" �� j . � / �;.-. � l�i . - <br />� I At the following location ��C`� 7 '? �7 "� �:;� =_____ _ _ <br /> SKETCH ---- — <br /> , (Work to be donc) <br /> i <br /> �` V ;� a <br /> , <br /> . ;' � � <br /> ; , � <br /> � ,� � � <br /> � >/ � <br />; �� ,�� � � , <br /> , U � � <br /> I ' �,, _t � - � <br /> '} ` �' I <br /> , ; . � f � <br /> , , �, / � <br /> ( Vl � /1j / / .� '' <br /> ( '[ � <br />� r <br /> �: ,3 ; /�� ' � �-.! <br /> _, �./ <br />� ' r�'�� � ��� � � <br />� �� � \ r� �V'_; — -; -1� �' :, _- '< � � <br /> � , � � � � � �yUI <br /> �� (/'�J��_�_ ♦ �;,�� �,' _ �—�t2c�v1UE I1'�G.r' J� �� �I <br /> IS-� -�--�._,,;� II . <br /> / � _ . ��� �'" � <br /> �a p -----_..._._._.___ � <br /> � = �t�� <br /> � .i.;_:. ,, -r----_.-, <br /> � � ,_1;� � <br /> , <br /> / _ _____:5---- . --�=--- _ <br />� DRIVEWAY SECiION The undersigned owner hereby agrces to ho;d and <br /> NO SCALE save harmless the Ciry of Everett from any and all <br /> � � �_ ---"{ - claims for damages that may arise because of installa� <br /> � fI�\ +i" LIF tion and maintenance ot the improvement hereto <br /> ` � .' applied for and further anrees to remove same upon <br /> . 30'�__ __. ____.�9o"„I � notice from the City and ia replace public pruperty <br />� , . . damaged thereby. <br /> � Signature of Applicant �'� ---- <br /> I <br /> CUP�' GF THIS APPUCATION TO � Address . <br /> I o <br /> E , - <br /> 8 OSTED I . , -� <br /> 0 JOBS Tr. - , <br /> I CALL ENGIhE[FlWG DEPT. 25�J�BS11 I' Telephone Number � — <br /> ji r �')%•. <br /> i 24_FIOURS 3EFORE COPJSTRUCTION I Date _ � � - <br />� � CHECK LIS7 Fee � <br /> Water Vaivr. Dept. Ap�xovals <br /> Drainage <br /> • Curb &Gutter Engineers � ' _�_r �' _ <br /> Sidewalk ; � <br /> � Water . •v':. "�- ;'/,- .. � � . <br /> y/ - ' / $Veet � <br /> I ✓Jl�,1—(�_�v _ Ccmmunications � � � ' � ' . <br /> Inspector'sSignamre,�r Traftic �T— <br /> / <br /> � � Planning <br /> . <br /> ate ^2=f � '��'�:�-t. �'-'� �. s� �� . . ._ _ .. "��: � � ' .'.? l i7 c .�� � . . <br /> -�7 =-�.z.J /• , � <br /> /� � <br /> t%I_il���I�7�/� �"Y'(�✓I.ct�s [ <br /> � ✓ > �� � <br /> Rema-ks / <br /> Note: Ori�inal to Customer <br /> � 1 Copy to File '� f} C{^ !1 <br /> 1 :�opy lo Inspec[or " ' '" �� Approved by <br /> Date Approved <br />� - . � - - �'- - � - - - - -�- --- — <br />