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1 <br /> , <br /> V <br />� %�' � <br /> ��\ <br /> �9 APPL�CATION FOR RIGHT•OF-WAY USE PERMIT <br />� � � c�rrett � <br /> �;., 103�2�,���i <br /> � �//G/�� <br /> CITY ENGINEERS �G� �� � <br /> EVERETT,WASFIINGTON ' ,. PERMIT N0. � <br /> ��„x,�;�,�e�/�U�✓!A 5 G. fI N�E�S.�N �EVE.ZG�rc.-ti' L'E.i i�� <br /> Ibnby applin for pem�ics:m to�����-. !�NTGu�a.-' l,t NSS <br /> At Ou fdlow'uq fxstion ��GG� s3.�G,-�'1J rt/rs QZG2� —�,O • .c'G�;D✓✓rI Y <br /> SKETCH , <br /> (YVork tn be do�e) . <br />� � <br /> � /STiNG TR�ES c�rY r� z�-�E c.3 <br /> �- - ,viC�✓E.,vGE�S I'i <br /> � W . h .y <br /> �11 � "r� , � i <br /> - .z `� �,��A- ' <br /> � E �sT��� G�A� <br /> � � i , <br /> , <br />'` � ; /� � ; <br /> � ° W � �� � . <br /> r �. ,, _ _- _ _= - <br /> , . � <br /> � ?f.�' , r�0 ��'ONi-�✓ -�J�_ q �- � � <br /> /iY5%�I4 i D��% �i <br />� , , r <br /> /Msr�� � -Y�= �" cc��c. ��ti'3 ,�ic�. c���� �"� ¢ N <br /> - ��,����2�15.5 a�c� <br /> �oho✓�� y ,��� cYv.,�E.z : <br /> � �,,/c;.rL� .�/L�'! . I <br /> x <br /> i � • ; � <br /> , REcWfiY �=E�vCF ` °� � <br /> � i i <br />, � ��� Y✓� y _'� <br />� - � � �- <br />, �� : � �. . <br /> ' , ` � .� <br />' ORrvEwAY SECTiON ' � The undersigned owner herebY agreea to hold and <br /> j . 0 SCALE � � � , / save harnless the CiYy of Everett from any and all . ( <br /> - �— �L—� . � c4ims for damages thai may arise because of insialla� <br /> " L�P, /� tidi and maintenance of the imprrnement hereto (� <br /> (��' aFplied for and further agrees to remove same upon � <br />�I 3D" 3��� � ` � notice from the City and to replace public property <br /> �i .1,(' damaged,thereby. <br />, � � �� �,�� �� <br /> ' 3ignature of AppGcant <br />, � � ��� . { �i S-o s� L?rr.ru�c..c�e.« <br /> COPY OP THIS APPLICATION TO Address `-• I <br /> BE POSTED ON JOBSITE. Z. s ? - 7 z-7� <br /> - � . * Telephone Numb^r � <br /> CALL ENGINEERING DEPT.2538811 y �_ �i�7� <br /> 24 HOURS BEFORE CONSTRUCTION . D� � <br /> ' ' � �vr!' <br />( _ CHECK LIST � � � � V . <br /> Water Valve ` . "'^•• <br /> ro Is <br /> prainage � � 2� / <br />� Curb&Gutter 1 � s �'`^"'-�'� N � <br /> . G,/J <br /> Sidewalk � Waer��T �or.���P.�r1 c�r� �! <br />( �"�'R"n�''� '7k5treet_ '%'-� / l <br />� �� Communi ations `f� � <br /> j lnspector's S�gnawre . � <br /> `r� / "1.^,. /�'� � <br /> , � 11��j T��� <br /> i �d'..��.. � � c Plannin G /i' / n <br />( <br /> • te �L••rt C°. �ila...,�t.,w _ �'iG.O', <br /> I <br /> -�innarks � �. <br /> Note: Original to Custome� . <br /> -iCoPYtoFile 1D362 � � �— <br /> 7 CapY to InspCttor �aO`' � 3 -- >�_ <br /> I [��J� � _ 1 <br /> ..� Dste/Cpp�oved � <br />� . _ �' <br />