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i <br /> APPLICATION FOR RIGHT-OFWAY USE PERMIT <br /> everen ��O c� <br /> � v ' <br /> i <br /> CITY ENGINEFRS � � <br /> EVERETT, WASHINGTON PERMIT N0. � �� A : <br /> The Undersiyned L7 �N J1/ `— �� ,'�l �:d �y� -- ,, <br /> Hereby applies for permission ro ;�n '=� ' c — � 5 / -- _� ��. <br /> -- � <br /> At the following location ? � 2 � � ���/i�1 f/ 7� � -5� J i ��' — --�. �--�� ���-_ i <br /> I <br /> SKETCH �.� i <br /> (Vork ro be done) "`(��/ ^ �, <br /> ✓✓I r, ' <br /> �Cc �) i�i r1 � '/dr.'r� .� , <br /> fj_ ��/) v ! 5 <br /> ( <br /> I <br /> I <br /> � <br /> I <br /> I <br /> I <br /> I <br /> I <br /> � <br /> I <br /> I <br /> II <br /> i <br /> I <br /> DRIVEwAv SECTION The undersigned owner hereby agrees to hold and � <br /> NO SCaLE save harmless the City of Everett from any and all i <br /> �--- --- --� claims for damages lhat may arise because of installa� <br /> I�� LIP tion and maintenance of the improvement hereto , <br /> �30"___ _�_____ . ___ I 30"� noPice�fromathe City and9toreplace publ caproperty �I <br /> '1' ��i� <br /> da ag�d,tbe-re y. � �� i <br /> Sigr���eo Appli <br /> 10�-¢-���,.-,�� � i <br /> � COPY" r;F' lHI5 P.I'i'LIC/�.(IUP: 10 Address � <br /> i i <br /> � RG POSTEG ON JOBSIT[. , .iJ J � �OO � i <br /> Telephone N (nber <br /> I CALL ENGINEERING DEP7. 75E�-�tst i � /� ��, <br /> - 24 HOUfiS E3Ef ORE COi i5I H�IC-i IOPJ���. Date � � �� <br /> I._ . . _. — _ .nA /A��� I <br /> (' CG <br /> CHECK LIST Fee �� � j <br /> Water Va�ve Dept. pprov Is j <br /> Draina e <br /> 9 �' �J i <br /> Curb&Gutter Engineers_ � ..j./ J�wr� � <br /> Sidewalk � <br /> Wa[er <br />� SVee[ <br /> Communications i <br /> Inspector's Signature Traffic ' <br /> I <br /> Planning I <br /> ate <br /> I <br /> i <br />, Rr.marks <br /> Note: Original to Customer � <br /> iCopytoFile 11�53 I <br /> II 7 Copy to Inspector Approved by � <br />� Date Approved <br /> I <br />� � <br />