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- APPLICATION FOR RIGHT-OF-WAY USE PERMI'T ' <br /> everen <br /> � e _ so5z� <br /> .� <br /> CITY ENGINEERS I <br /> EVERETT, WASHIN+;fON PERMITNO. �, � ~� ' <br /> � TheUndersigned � '-'•=e=�-�-� � ' c- -�--����_�C-/�i/ ' <br /> Hereby applies for permission to -�' ����� � "�'9 � �� /, � --��-% ✓,�l�/ <br /> I <br /> ----- <br /> At the following location " �-���: �; —' � �' � �'' , .c-'-� ,t j I <br /> — _._ i <br /> _ i <br /> SKETCH <br /> (Work to be done) <br /> 1 <br /> ' I <br /> / I <br /> I <br /> �\ . I % ' <br /> � �,.� -�—i I—_. I <br /> ' / i <br /> 4 � � � : <br /> a ��i� �,�� , � <br /> - �' T ' ' i <br /> � l AV � I ' <br /> ,'� ;' _ � _ _ il <br /> 11� �_ Ci �vS;. , ) _s -�'-'��,%- :�`✓V <br /> i <br /> � <br /> ��- ,� r ' �EXisT it�l.,-� � <br /> �� �'_� `, i <br /> _� �, '��/�i /�rj � <br /> "-- 1/F�/,y�',:y.,✓ SCir:�'lC� <br /> _�� J,�,�.�� i - ? <br /> I i. , £'C_ V�E _�G�7�,'7 <br /> ��r,r E <br /> I <br /> I <br /> � <br /> DRIVEWAv SEC710N The undersigned owner hereby agrees to hold and I <br /> {�NO SyC�ALE save harmless the City of Everett from any and all <br /> I _ �/ �--��--� —� !_ r claims fordamages that may arise because of installa� I <br /> ' �'� ��p � I , ��-y� tion and maintenance of the improvement hereto <br /> / � �/ ' applied for and Turther agrees to remove:ame upon <br /> I 30 I 30' ��� �� ' � <br /> I�-T-------�-----�--� � .;� �f notice from he City and to replace public roperty <br /> �. ' /�!��, amaye y, i <br /> G � <br /> �' �-" � C�.GI�...l <br /> �g a ur of Ap icsnt � <br /> � COPY OF TNIS FlPPLICATION �i0 � A f���� ��� �� ���' � <br /> � EEPOSTEDONJOBSITE. � �'"')���� ���� j <br /> TelepFrme Number <br /> CALL EtJGINE[RING DEPT. 259�38 i t ! ,.� � � �—�l I <br /> �.24 HOURS F3EFORE CONSTRUCT!ONI Date ' `� i — � <br /> _ ___ _ -- _ _ _ ,/;;�1 :,C J�.� 7�z, c'��� j <br /> � « - <br /> ' CHECK LIST Fee <br /> Water Valve Dept. Approvals <br /> Drainage <br /> Curb&Gutter Engineers I <br /> Sidewalk p // ^� ,� �/ <br /> Wa[er /1• 4,I� -6-6�/I 'i.�..�i,�� <br /> � � �� � Street i�Y,�.,,s � <br /> �. ,��t� �� Communica[i � <br /> Inspector'sSignature � lraffic /�� �/y / j <br /> Plannin <br /> Y� <br /> at�e — S✓4.3 - • � � I <br /> i <br /> Nemarks ' <br /> �' <br /> Note: Original to Customer — � <br /> , ��PY �� F��e 10 5?_7 � <br /> 1 Copy [o Insper.tor Appro ed by � � <br /> i i <br /> �-- wiiL^ C �� � i� I <br /> Da[e Approved <br /> +.. <br />