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_ r <br />i <br />!',P <br />�rvcn•h <br />. I I y .1 L 1- ;, <br />"ATION FJR RIGHT-OFMAY USE r MIT <br />PLRddir NO.-- __ <br />rna Undersigned ____­ r A. <br />4erebv applies fur pumission to (r7 s lGfj �i (i • / hh .: /f, Dl,,y. C,7 jr,- R• ��y <br />Ntthefollowinglocation A711EiLLy& Ie, .�._.- M. <br />METCH <br />Work to be done) <br />, <br />A <br />s. <br />n. 3? <br />DRIVEWAY SECTION The undersigned owner heer6e, agrees to hold and <br />NO SCALE J save harmless the City of Everett from any and all <br />claims for it .:nmles that may arise Iter . • of nistAla` <br />teen and manitim.oe c of the imptovew, i,t hereto <br />applied or and torfr' •I agrees to runove saniv upon <br />w nonce rajs,(firrl:�taiid to replace! public property <br />danw .e�llr oy; <br />i <br />,r,D �eb a1WRU i•IPI�Qlllt <br />_N \c'AI"I Lie <br />:UfiYOFTHISAPPLICA1ION TO JUN 11 19tG Addie n �'k'. lU <br />.LPOSTEDONJOFISIIL. -SCC! V-.' <br />:ALL INGINEEMNGDL'PT 2598811 •TclePllnuNuiiil.!i <br />UTILITY DtPA:,ui„1NT o <br />f HOURS I)FFORE CONSTRUCTION Data <br />.RfCK HST ._) ' • 14 —7G FeeM <br />:.gu r�„•,! /f �•s O�' Dept. Approvals <br />:tub Fe Gulier 6igineers__._•__� _�_.___. <br />dewalk _..._ _ deIe' Water.___- Street <br />Communicatmns_---'.--_--... <br />isPe'clm's Signatma <br />cv_; l �Jt•r�.l �� Pt`annin-y------- A `..,r�s <br />ate .?�+�'b_.—_'%L: •tv?E�.s.nyQ-1!�S•'.--- <br />010 Dnt;ivil h, Cuttomer q <br />ICoP•,bIFde L0500 <br />1 COPY to RcTiectnt J" J AParuved Ily <br />Date AI+Piore•.! <br />