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APPLICA710N FOR RIGHT-OF-WAY USE PERMIT <br /> ev� <br /> 10537 <br /> • CITY ENGINEERS <br /> � <br /> EVERETT,WASHINGTON PERMIT N0. 7�'�Gb <br /> The Undersigned__ _ <br /> Hereby applies far permission to_yR S to,1L n 2 S' ,�/, c /f D <br /> At the tollnwing location __��_ALYC1"�S1iC1-3/�� <br /> SKETCH <br /> (Work to bu done) ����_y � <br /> { � <br /> �K � �i�—�__. ------------------- �� <br /> �� � - � ' \ <br /> , . <br /> o� A �•Ph. o/w .� �/\ <br /> ,� � � --__ f-__- '� �---;�25 <br /> � <br /> 0 1�'� ( 3 2 a � �` µ;'/ <br /> ��� �, �' av���� �� j-.-". <br /> ��� / <br /> 1�� \ / <br /> X ' � <br /> X e''� i / <br /> � �� ' \ �� en� i <br /> v�,, � �� � % <br /> �i i <br /> Yoa. � / <br /> ,� �ai%� �.- <br /> . <br /> � � ' <br /> / ,' j" ` , s i <br /> . v �a�a� �... <br /> r � ��� � s. �. ;, - o. <br /> / �ro. Q_ , ��� <br /> Y � � <br /> / � J��SO <br /> � P�' <br /> i � <br /> P�� <br /> dRIVEWAv SECTION The undeisigned owner hereby agrees to hold and <br /> , NO SCaLE N 0 i c p �C savo ha�mless the Ciry of Everett irom e��y and all <br /> � 2s��-�-�-----" --'-'' claims far damages that may arise because of installa� <br /> f��\ I" UP — D�o w n b y tion and maintenance of the improvement iiereto <br /> , `--_ �•%�% �'z(a��6 applied for and further agrees to remoie same upon <br /> �30';�__ .�_ _ . _�30'� notice from tbe City and to replace puLl+c properry <br /> . damaged thereby. <br /> �� Ji Signature of Appl�cant <br /> i <br /> CO V OF THIS A ICAT ON TO <br /> `�v Address <br /> OE OS1'ED ON SIT[. <br /> C LL E�'GIN NG DE T. 25�J�8811 <br /> Telephone Number <br /> 24 HOURS B E CON TRUCTION Date <br /> - — -- fi /Z. SC� <br /> C ECK LL Fee — <br /> W ter vaiv� Dept. Approvals <br /> D ainage \ <br /> C rb&Gu � Engineers <br /> � ewalk Wate� <br /> Street <br /> Communications <br /> � Inspector's SiBnature Tra(fic <br /> Planning <br /> �ate— <br /> Remarks <br /> Note: Original to Cusmmer <br /> 1 Copy to File 10 5 3 7 <br /> i Copy to Inspecto� Approved by <br /> Date Approved <br /> ;rW�, '.>'4%'?r <br />