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�retl <br />� <br />� <br />CITY ENGI�EERS <br />EVERETT, WASHINGTOIV <br />APPLICATION FOR RIGHT•OF-WAY USE PERMIT <br />10275 <br />PFRMITNO. ��'�-/�� <br />The Undersigned V�F �/✓ C.�� _ <br />Herebyappliesforpermissionto CO/YSTRI�'CT� 25' /-75PN/-�L� 1.7,�2/VEWi9Y <br />At the foilowing location_, ` 5� I Q _ 3 J�� �-�VE• W. �I <br />SKETCH � <br />(Work to be done) \ '� <br />�cS� ED�E �FEXIST/NG <br />,VE W/a�ttALT DRiVE WAY—�� � J2 PAV�I+'1 _FA1 T� <br />�� <br />Na SG/aLE <br />�� <br />DkIVEWAY SECTION <br />NU SCALE <br />�------ Z�c '--- --{ <br />j I•� LIP � <br />�. � � <br />�30-�___"— ��—__—�•3—'1 <br />--------- — -- ---- <br />COPY OF TFIIS APPLICATION TO � <br />B6 POSTED ON JOE�SITE. i <br />� CALL E�VGiNE[FiING DEPT. 259�8817 �� <br />2= HOUi�S HEFORE CONS7RUCTION� <br />I. _. . _. __ _ .. .. _. . _. . _ � <br />CHECK LIST <br />Water Valve <br />Drainage <br />Curb iS. Gutter <br />Side��.valk <br />Inspector's Sic�n�ture . <br />�, . � /i <br />� � <br />� —_ <br />Remark's <br />Nute: Original to Customer <br />,�oPYtaF��e �_p?75 <br />� Copy to Inspector <br />5314 <br />30� <br />,�-.., <br />'.Y �+`3 ° <br />� <br />i�1111. 12 " � UL����.�i'T <br />il <br />�� — <br />54T"ST, S.W, <br />_ _� <br />The undersigned owner hereby agrnes to hold and <br />save harmless the City ot Everett from any and all <br />claims for damages that may arise because of installa� <br />tion and maintenance of the improvemen[ hereto <br />applied for and (urther agrees to remove same upon <br />notice from the City anAd lto replace pu61K properry <br />darp,ag�d therebY• ,. f �"�� n �"Z�-^�n <br />- 7?GG <br />._...�. /�- 7 S <br />oace /Z, SQ "�f�`'�- �r/� r%�/�7l-7� _ <br />Fee � � <br />Dept. A/p�provals / � <br />Engine 5 - {'�%��GCc./'Ca"� ,9-�7� <br />fj �� � - <br />Water C � <br />Street n�4r�..-� <br />Communications"�'"-�� --""`"O �"��� �' <br />/ /�--.�_ '% / 7 7 <br />Trafiic � � � > <br />Planning � ��10 '��- � � �_ ��/7� <br />Approv �y i <br />�i�,E���� �`�',r,/��,�.c.;_� 9_2r-�-7S <br />Date ApProved <br />