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�vcrelt <br />� <br />CIlY ENGINEERS <br />EVERCTT, WASHINGTQN <br />APPUCAT1011 FOR RIGI�T OF LNl1Y US[ PERMIT <br />�.�4g8 � ,. _ <br />� ,v�:.� <br />fr,c,, <br />� <br />G/ ,:. <br />FERMITNO. �:_ /tL__ <br />The Undcrsigned __ ,J �,.. n S �'�� F <br />' � --t.f— --_ _.— . <br />Heicby aUNlies for permission to ._L e, n' ��1.� r• c 1 n' C e„ �. - A�, l, �l f'/��_� .��' ��it/!'Z�ti_ _. <br />------ -' - �'�--�-=1_}-. �l'^-W. — ------ <br />Atthetollowinglocation .,__�,G3C" /wf��i'?1� �<._.,....i 7i..J <br />( Work to ha Aonel <br />��- ---.. <br />� <br />� � <br />i ! L30 <br />IA�B <br />1 Y,,,.:T� <br />, :_ __ - <br />, <br />'i � <br />�o <br />____'_'.'_'._l t �.� <br />DNIVEW4V SECTION <br />NO SCALE <br />1. - . _..-- :'r�' - - � - �+{ <br />I <br />C�----�`-"—= =—:---�� <br />4.7�'.}.�_.. .� .yi0"� <br />-�- <br />I� COPY OF THIS APPLICATION TO <br />f3E POST[D ON J0651TE. <br />; CALL ENGWEERING DFPT. 25&8H11 <br />i <br />24 HOURS BEfORE CO�•� "�fiUC'fION <br />� — ---- -- - _ � __-- -- <br />CHECK LIST <br />Watar Valva <br />Drainaye <br />Curb $ GW [er <br />Sidewalk <br />�- � —��^ ti.._----- <br />I�ecior's SignaNre <br />�.ag - � — 7G _—. <br />Remarks <br />Notc: Cnginal to Cuttome� <br />i conv �u Fa� ����� <br />1 Copy to Inspcctar <br />. 1 <br />F.��<.tin�,.:.7 cu�h cut, . i ' ' <br />- r� � � i <br />_�_�. " � �. . � -- 7 n'—._.. ._ <br />_ -- --- � .I}. I . <br />`:\`�`.--�: .- , s i . <br />.n ;\�\�.A;�h ��/...��� � �-. `� ' � ' <br />..�.._..��L�._�._��. �� � � .i � �.__^� � <br />------- f ; , <br />/, '/0// CanC. �!w ' I <br />� s' � 6 " �i,:, � �-,J �:._� I � � <br />� I'' � - � <br />,. �> <br />� �.„„ I < ti <br />� 1 4� 4 1 <br />�� � l � I <br />.. I,tii•�I- _.—"'� <br />i i_ y ( <br />I � . I .. <br />�� � • i� <br />I•.';� o -I Iy' ; - <br />'i <br />i, ., �. <br />h'��.crl ��q.• <br />0 <br />(.�.. ll 0 7� ! <br />, �, . . <br />. . . .i. �: �. . <br />•!,O/,.. <br />�1'�'� , <br />The undersigned ownnr hereby a9rees to h��Irl and <br />save harmless the Ciry of Everett I�om any anA nll <br />rl�ims for damages that may arisr. because of in�tolla� <br />tinn anJ maintenance ol ihe �mProvement hr.reto <br />applicd lor anJ hiriher agices to rr.move same upon <br />nnticc hom Ihe C�ty and to �c�ilue public property <br />dimaged thereby. - <br />= 1 _ �=----- -� <br />$iqneWre of Applicent. <br />i.�� � . . . . . <br />_� - �,�. <br />1 cic{ihone Number <br />Date----� � — — <br />�_�_ .�_; �„ f�l iy�9/�_�_ <br />f er <br />l�I.i <br />r_,�-,r) . <br />TraHic "�^ " <br />/�--- i <br />Planning� ' ' � � .. Y_ - �<.�� ./ �! <br />�r-c!,� A� ��S .. G '� �i �� <br />-- <br />A�N�9 / � <br />` ' _,�/1r <br />Date A rwed r <br />