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� ....�_.__ �..—._ �- � <br />,f <br />� <br />� <br />! iiPPUCATION FUR RIGFIT-Of--WAY USE PER1191?' <br />` evrrett f �� <br /> i � '.U21. <br />'� CITYENGINEERS ��- �,�-f� <br />�� E`/ERETT, NIASHINGTON � �` N0. _- <br /> The Undersigned_G���)/✓!/�%_ �--1�.�/��C',� r�/�. _ <br /> Hereby applies for permission to � Q�U i %ic'lJC%� G� � C-�����h C %<= C� � <br /> At the following Iccation. �I2 I- IO rH /-)I/C. .S Le. _ _ <br /> SKETCH <br /> (Work to be done) <br /> ,---NEIn/ CD/VL'IaETE <br /> �R/UE I.,//a `� <br /> �S 9!2/ 1� <br /> I �M <br /> 30� ' ^ � <br /> �� i i ' <br />( ----_ _---- - � { <br /> ,.� I <br /> iV'D �r^/�-'%'_ '� <br /> ^ — �EX l�T//1/G CURB 1 <br /> � 1 CU Ea I <br /> � `U --CXISTIAIG SIL�EWAL K ^ <br /> 92 "� S i. S. E. vi <br /> __ � - <br /> � <br /> � <br /> a <br /> DRIVEWAY SECTION � The undersigned owner hereby agrees to hold and � <br /> NO SCALE savc harmless the City ot Everett from any and ali �. <br /> � 2 J!'� - -�{ claims fo�damages that may arise becaase of irstall2� <br /> +i„ L P --�1 tinn and maintenance of the improverient hereto <br /> J applied for and further agrees to remove same upon <br /> { 30" � 3�� notice from the Ciry a�id to repiace public proper[y <br /> ---�-----2�_ -- --� � �-r; <br /> �v .: :�' dam�� e4Y7 <br /> i re pplicant <br /> n '�� I <br /> .�:P`( OF THIS APPLIC;\l IOid TO ��, Address <br /> �[_ POSTEDONJOESITE ��� /-Ue'1e�r .- l.dnc� �� <br /> Telephone Numbe�_ <br /> _ �:" � rl'.Ii�1G DEPT. 25&88; I - � � ��� /� I. <br /> Date P 7�// ' � <br />� . . qU� ��;iG �,ONSTf'UCTI�if�!�i, � �� � q, J�� � ��• �/ f/ �� � <br /> G i <br /> CHECK LIST ���� Fee I <br /> Water Valve �� ,�J I�ept�Approvals I <br /> �, <br /> Drainage ,i G-,�'S(� - �' ��(`� ��6 <br /> Curb&Gutter Engin�� � � - `1�--'�' �'� <br /> � G,,� � <br /> Sidewalk Nater �.1�-- i <br /> - - � � ,� , . SVeet !'�-���. ., . <br /> � '. ���i�.Q+�, .�p. 7i� <br /> . � '. ; �� � '�. �:Cf11IT1Uf11C3IlOf]S- � <br /> :nspector'sSignature1 Traffic � '�� �/�l j` ��, <br /> Plannin��: � � '� l C� 7 1 �' <br /> ` -- <br /> baic <br /> � <br /> , .. : i�i ._ _ . _ . , <br /> Hemarks <br /> Nnic: Oruinal to Custamer <br /> 1 Cnpy tc f-ile �.�7 1.3 � , <br /> ��y „ �: .�,,.�r„� � A�P�d�l � / <br /> �. s�vlrit.G+C/ , - �� <br /> �5te Approved <br />