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ApPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> cvcretl �;.. !..� ( !�;' . <br /> � _ '_ I;:, ; - <br /> CITY ENGINEERS � ��� ���-��" <br /> EVERETT, WASHINGTON PERMIT N0. <br /> `.7PJG{(Or1JS/-/ Gou<J7`7� CeJflf•1/¢Sin � � � •.- c <br /> The Undersigned � <br /> . i . Z - Z / <br /> Hereby applies for permission to Ca /1.L��_'� � "- � '� �� T �� _ � 1 <br /> i�,�:,✓E-w'.� �S �%JSPNaCT� A�1 OSCl�-ft= G,�.' i7iR�1G. w <br /> '?fr0/ - � o� c T. C1/L -=,r 7t' �1�OuTH ��dL�'=.-- <br /> At the following locatim� ---+ <br /> �=J��ti��.yi �Yp,+r�o�I n�`F'i �'f�•�) <br /> SKETCH <br /> (Work [o be done) <br /> EDGE OFEXISTIN6 —���[In! �;SPNi�Li <br /> PAVEMF.NT ►�R�VE�AY <br /> NE�U ASf'NAt_T NFbV PLANTFR fXISTIAIG G " �, <br /> H�IVEWAY �,STORM D1Z41N � <br /> � <br /> 27%i _ __ <br /> /O T" ST_ - -'� �` �- <br />� - ° _ - __ --'" / <br /> i <br />� � <br />� �; <br /> -S�MIAC 3� ��cw, c, a. , <br /> l9'R <br /> NFUa' P�IRKlAJQ LOT <br /> NEIrJ <br /> 19'a2 'PL ANTER <br /> 1�1 � <br /> —NFW PLANTER <br />� <br />, Nb SCALE <br />� � �+::{ � � <br />' , � � n� o�C��n.,� ��.,�� . �� <br /> / <br />� DRIVEWAY SECTION The undersigned nwner hereby a9rees to ilold and <br /> NO SCALE save harmless the City of Everett from any and aIl <br /> � 21/ _-__. __..! claims for dama9es iha:may arise because of installa� <br /> � tion and maintenanca of the improvement hereto <br />�I ' � +f� LIP applied for and further agrees to remove same upon <br /> �, 30�� / i 30'� notice from the Ciry and to replace public property <br /> i �---"��-- ---7�------�— cl ���.: , ' damaged thereby. <br /> _� -' .' �' ��li„�.�, <br /> �� � �,� � - <br />� � Signature of Applicant <br /> i <br /> ,2.w, i�s - G��il�.,ro� s� <br /> _ <br /> . - � � � �� � �� Address <br />� ; COP'f Of- THIS MPLIC;i i-IUh: ��Ci � �Sy _ c� S�o O <br /> �� BE POSTED ON JO[351TE I Telephone Number <br /> � CALL fNGINEERING DfPT. ?59�IIP1 ! �J - � � <br /> (� Date <br /> i '-IIIOU,� 6Lf-URCC� 7r':SI�RI�i: lliii�l , ��� � � �� � I. � �. ,� .����,� <br /> + r <br /> CHECKLIST � ��'�'�� Fee ��� <br /> fWator Valve F- Dept. A proV I6 <br />� Drainage Engineers'� � �v � <br /> Curb&Gutter i � � <br /> Sidewalk Water� <br /> � S[reet ':i�� ;� ,._. ,%_ , . � <br /> Commumcation � <br /> Inspector'sSignature Traffic�-�� �� `° '�� ^ <br /> Planning -�,��� � .. ,i� ! ��i� - li=- <br /> at.-�------ --- — -- <br /> �'%fI�1✓i . /� �✓F�! C_.Q�'''�"L��, T'� G�.f�i�'.� <br /> Remarks � Q�7 ��',�'��.Pj��.�✓ �j�/l� � <br /> Notc: Original to Customer �,s ''�^^ "��' Ty'�U i C<J'�17� <br />' 1 Q�17 7 , . <br />� 1 Copv to File <br /> I1 Copy to Inspecta� Approved.�y <br />! ` <br /> Date Approved <br />� ���=G� .�. ��� <br /> I <br /> Y _- <br />