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everen <br /> APPLICATtON FOR RIGHT-OF-WAY USE PERMIT °` I <br /> e so469 �� ; <br /> CITY ENGINEERS �,y� � <br /> EVERETT,WqSHINGTON PERMITNO.��- / o�, <br /> Tha Undersigned__,�,.t y�� r�..�k �1-��_� � <br /> ,' Hereby applies for permission to r o n c � r - � � , <br /> ' � <br /> Q-CE�.�'�� , <br /> ! At Ihe foilowing location � �q �� �„p � _�-�/� — i <br /> i SKETCH <br /> � (Worktobedone) NotF ' qpP/�c,;�1 } � ;n;tr,�� C, g, �� � <br /> � `�-"' low c��cr� N/ lic-re �1��,�no�r- �r��hlc-m <br /> I f.f ISf.�'i , � <br /> � �,, i <br /> • � I <br /> �'/t \ . ... ---._. . . _ ---._ .. . . _. . .. � 9U' . . qc'. - <br /> . - .__ . . . . - -- <br /> i .__.-�Yn . � . <br /> I / I ' � � I , '� <br /> I �� � � � <br /> 2 C ; �., , <br /> 1� <br /> a > <br /> I C f ' 1 � I <br /> I ' <br /> � / _ __ _ '.---- _ -- --I � -z2' I O I <br /> F � <br /> - , -- _ { <br /> j ---- __ - - --- (n <br /> -- - - I <br /> _ _ .—,_ <br /> ---- _ _ _ � <br /> a <br /> I ' L1 <br /> � , � :> ! <br /> i N � � l <br /> 21 � ry � I <br /> � � � � <br /> I : � ; � <br /> � �b I <br /> I — i <br /> I %'rt <br /> 1� tc q I <br /> 5� r : � <br /> ' No � c ��lc- �� �. _ :. <br /> j p/L ;p'� i:i � P�L <br /> u <br /> �(..(�,l�- w ^ . � <br /> / � ! I <br /> ''�� �/II/)/, • <br /> ,r � <br /> I <br /> � URIVEWAv SECTION The undersi ned owner here6 <br /> NO SCALE 9 Y 89�ees tC hold end <br /> save harmless the City of Everatt}rom any and all <br /> � ZS' � claims for damages thet may arise becau�e of installa� <br /> �I" LIV —�j tion and maintenance o(the imprmement he�eto <br /> I ��____ _ �p applied for and turther agrees to remove samn upe� <br /> � �� notice from the Ciry and tc iupisce public property � <br /> �• � da d th i I <br /> ! 411�s <br /> ' B� t re o p mant � <br /> � <br /> � . _..- - _._-. ._ ._-..-----.. ..I . - <br /> ,, COPY OF THIS APPLICATION TO Address <br /> ; BEPDSTED ON JOBSITE. �S LJ - �/�s� ' <br /> , (,ALI ENGINEERING DEf'r, z,g.Ap�� � Tdept�one Number � <br /> I24 HOt1R5 BEFOHE CONSTRUCTIONI � � <br /> �_L <br /> . - _ - _. �ate <br /> CHECK UST �e� +�� � d � <br /> Wat�r Valv� ; <br /> Dninape p► al� <br /> Curb 6 Gutter E�B. s , <br /> SideWalk - . <br /> Water_ •g, Ut.�Us / i <br /> � �( � �;--T-�-�-- (� ����7G <br /> � sneet_./ / <br /> Inspec ign [ure Communications __ �, <br /> �. � Traffic S �� �,' <br /> � /(;_ "j�� - 7 Plannin� , �' � i �� ' �, <br /> -�ate <br /> G �` <br /> e.:�� � /�9�7a�,,1 Or <br /> �'w Il/�/.�'��D kJir,�/!/,e1,'�orctq�. -- <br /> � Note: Original to Customer iJ O � <br /> ' 1 Copy to File <br /> 1 Copy to Inspector Approved by <br /> - �•._�,z�� <br /> Da[e Approved <br />