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.cn <br />� <br />CITY ENGINEERS <br />EVERETT, WASHINGTON. <br />The Undersigned _� <br />Hereby applies for perm <br />/�ov�.,�, <br />At the following <br />(Work to be done) <br />APPLICATION FOR RIGHT-OF WAY USE PERMIT <br />�!�/tY//� / l / 1 /7 /�� ( �/ <br />,..- <br />to .�--f i i i /i'� �.� ; �i . <br /><1�-`/c-�yT) � ` <br />�, i/ `1 /;' /� f � :,_:f" <br />i= <br />,-,: Ir.� �l� �r. <br />DRIVEWAY jECTION <br />NO SCALE <br />{'--_-- - —�--� --�� <br />I <br />�_ I" L _� <br />�30" ___ ____ 30" I <br />�� <br />r�r�pY OF THIS APPUCATION TO � '� <br />�;[; POSTED ON JOBSIT[. � <br />.�>.LL Eh:�GINEERING DEPT. 259�6811 �' <br />."� IiOUf�S 3EFORL=CnfdSTRUCTIG�.-1 <br />CHECK LIST <br />Water Valve i <br />Draina9e <br />Curb & Gutter <br />Sidewalk <br />� <br />�� ; �;;�,/; . <br />i <br />Inspector's Signature <br />Hr.marks <br />Nntc: Orin�nal to Customer <br />1 Co,.y to File � � r <br />_. �'. ,�4 <br />7 CoPY ta Inspector <br />„ <br />�v-�l�i lii L�.�;) �.i. <br />_ _ -/�� <br />'1 <br />PER6411" N0. <br />,� ��l ,;i `; i <br />i'. <br />�i�u� TI\i%L( }�c:.f?' ;� <br />,i <br />Ft' ;�l� � 42" N i �� ti s, <br />l,s" G£Id�uU �tu£u�4c�, , <br />l�e undersigned owner hereby agrees to hold and <br />save harmless the City of Everett from any and all <br />claims for damages tha[ may arise because of instalia- <br />tion and maintenance of tne improvemen! hereto <br />applied for and further a9rees to remove szme upon <br />notice from the Ciry and to replace public property <br />dart�ged t iereby, //� _ : � <br />�� �... x% a .i�;.;. <br />S g ature of Applican� t' ,[ ' <br />'' 1 � !_ ( - �i : <br />Address � - � <br />/ ''/ � - /� ( � ,�-�--� <br />TelePhone Number ° ' <br />��! i; i `� �� if<_� <br />Date % ��7— <br />Ccmmunications �' -'�— �9 - y' ' _ <br />Traffic � �"f --�_ �� � - - <br />Planniny i� ,�� � %/1� / . - <br />�i>���o��a �Y �,> —_ <br />; ; ✓4-c�,�..� . <br />. . — _— _.____—.__ _ <br />U:ticA�ipiuvrJ . '1. ' � �_.��' <br />.' j - <br />