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�V . _ _ <br />� � � s.�._�.......�. ..-._. .. <br /> evcretl <br /> APPLICA'i ION F(:R RIGHT-OF-WAY USE PERMIT <br /> e so:�o� <br />� CITY EIJGINEERS �J <br />, EVERETT,WASHINGTON PERMITNO. /�'(J <br />. The Undersigned il ��/:%/_ ��� (a,� L ,��iG I / (-�- <br />� Hereby applies for permission [o _ �O/UST,QI/G�T �� � �/ f��y�LT � LtJ <br /> i -- _ <br /> At the following locatia� �..�d ��� �(�j�(/ <br /> — �/ �1� 1 �� �r� 1 / � 1 <br /> SKETCH <br /> (Work to be done) �L �i <br /> � <br /> ZU' <br /> ( _ 2 ' <br /> i <br />' i <br /> � � � � <br /> ' � <br /> � ; I: ,� i <br /> I' � �'`� 1 r� l� <br />' �q30i, � <br /> r -- — — j� <br /> Nr'�1� �=;=, N!rra�_ r r;r�,i <br /> — � <br /> , I , . <br /> '�i���i' !, <br /> � .__ _ _ ���f-,i/ � };� <br />� � _�� � � � �� <br /> �._ tI � TINU i� t/LvL ;? I � � <br /> ,,xi �� r�Nrr ��,�cc �` <br /> � i�i= r� r�ra u <br /> �/U L'U !1iS r,' G"lJTTt: li I � <br />� � I <br /> � DRIVEWAY SECTION ,� �he undersigned owne� tiereby agrees to hold and <br />�I , � NO SCALF�— _ ; save harmless Ihe City of Evr.rett .'rom any and all <br /> �� -� �:laims for damages th�n may arise because of installa- <br /> �� ' I !�.� �[ion dnd maintenance of the improvement hereto <br />,' i��T__ .._+.'�_�r�—_.. .—� ' ! ' applied for and funhcr agrees to remove same upon <br /> 30' <br /> - V �-��---•� notice from tne City and t replace public property <br />� � �I, damagecj.�tFie�. �'�C.� � . <br /> � � � �./t y �[6UC� <br /> � c,y Signa�ire of A plican[ . ; <br /> � ---------__ . . ....--__�_---- -- ! � ��� )i�-:;'v�.::_, ., /'1-� <br /> COPY OF THIS APPUCATION TO � D��/�/' � �' t�' ��'�I-I ���� Add�s� L— <br />, BE POSTEp ON JODSITE. I I f�"I�J' ' 1 .J ��• l i — � :1 (' % <br /> Tele hone Number <br /> I CALL ENGINEERING DEPT. 259�861 7 ' P ��j � /�J ?� <br /> 24 HOURS 9EFOR[ t;(iF1S?ftUi:TIqL' Date � <br /> CHECK LIST Fee 7 Sn ���� 7� �� <br />�' Water Valve <br />� �r3ina9e QA • AP9�flVa15 <br /> M Curb& Gutter '�<1R- e-e /D- <br /> Sidewalk Engineer �'� �..J�-7J <br />' --- Water_ � J�_ <br /> + . ._ � - Street_s.e'��. .. .. <br /> "� ����/ ��f� Communlcatiops=J C% =_.co- io_iy �.�� <br /> Inspector'sSi n ure i <br /> Traffic �!� 1 '--L� /� i' >�' <br /> � � � <br /> /� —�_ 7 �� Plannir+g � '� , �' <br /> L � <br /> —bate —— <br /> ti '��: � — <br /> ._ _ . <br /> Remarks <br /> Note: Original to Customer — <br /> , �oF�v to F��� 1, n 3�6 — <br /> 7 Copy to Inspector App <br />� ���t :��,,� c,� io,�(-7s` <br />� Date Approved <br />� <br />