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�� APPL�CATION.FOR RIGHT-OF-WAY USE PERMIT � <br /> • CVCfCI� • , � <br />' � 10362�;��)/, <br /> G/�" /��' � , <br /> CITY ENGINEERS ' �G� �� . � <br /> EVERETT,WASHINGTON . aERMITNO. <br />' Th.unee«ca.�r/U,✓!A 5 � G. fI N!>�iZSON �c`;%E�v�L'c:�� GE.�� i��97 <br /> INnby appiies for permi:sion to�!�-�- G�NTGU�-� ��L/�7<S ' <br />, At 1M following loaiion �C��Q /3.L�G.'7��rt�i7'� ¢LG2� �=�'�1..� � .L�firO✓✓/�� <br /> SKETCH , <br /> �w be done) <br />' � .�STiNI T��ES ciry r-� z�:s�c�s <br /> � ' --,•ir�vE :.v[.ETS <br /> V_ <br />� � � . -- ► <br /> _ <br />� � �,Z�A `, <br />� - �2 �E iSTiNG GRAss , <br />` � � i <br /> � o Z Ili / <br /> � - � - � <br /> d \ � _ _ _ _- - � <br /> .. .,� , � <br /> � 2¢'. �r�c0_ ,zcwvN�-�Y --��. s � � <br /> �-- �N5Ts�tGG p�,�% - - <br /> . . , / �;�, � . <br /> /�l�Srr![ L -Yi�:= C�� CCn/G._�3 ,c/GL. Gv��/ � -� ��. <br /> - /�:V;-��R•�5� ��c� <br /> /�Of�Di�y � .��� /-wvv�z <br /> �- iNc;.r�,G. :�/Loi"' . <br /> � <br /> ' ; <br />` REc WfiY �=E�vC'F ' '� <br /> . , ; y �� y � <br /> . , ��� �. <br /> . � � '�� <br /> _.�!� ; � <br />, 11FtIVEWAY SECTION �, � Tlhe urtJersigned owner hereby agrees to hold and , <br /> -- 0 SCALE �� � � . / save hartnless the City of Everett from any and all . i <br />� � . _._... � ,:.. , . . <br />( � daims for damages tha[may arise because of insialla• <br /> �„ ��� � Sion and maintenance of the improvement hereto i <br />( _ , 4� applied tor and further agrees to remove same upon <br /> . 30" 30�� ��}1/" • '� notice from ffie City and to replace public property <br /> . ,r � ,il�'j ��,f � d�ag�G ereby.� ,� � <br /> . / <br /> i � <br />, . j�JIN" ignature of Applicant 'c <br /> ' V C' S/�O� f��^+^.a� <br />, COPY OF THIS APPLICATION TO f Address �' . <br /> BE POSTED ON JOBSITE. Z- s � - 7 Z'-7 Z <br />` 7 Telephone t�'.nnher ' <br />' CALL ENGINEERING DEPT.25�8011 f �_ ���7� <br /> 24 HOURS BEFORE CONSTRUCT�ON Date / <br />� • ' • � J'.�rr <br />� CHECK UST \ - � v <br /> _ Water Valve � . �� -�•.,,.,� �t p �of1a�S , 2/� / <br /> Drainage I �� � <br /> Curb&Gumr I {rgia�. � � !ti%�� /� . � <br /> ' Sidewalk � Water A,�l�o�.���e.�rsc.�L ^%�� � <br />' �1/�YY�AOM��a�AK "!E$treet '�:C� -- — <br /> �`�" � <br /> I +fjc, Communi atioos 1` <br /> lnspecdor'sSignature ' Mpi^' „ 1 `���r�2� TraNc ���% l ;� '"---�—� f <br /> b �Ir <br /> i �•�I -Plannfn . �' � /i� / ///J,�,/77',.> � <br /> ._.yr, � <br /> I �- Tiate ' .S� • � CD �"i�n �t...r `=7�GB I <br /> f <br /> I liemarks � � <br />� 'Note: Original to Custaner n <br />� ��7CopYtoFAe 1173s2 . <br /> 'iCapY to Inspeetor "'��OV � 3 <br /> ii �— � >� <br />� - � • " Datc PProved . � <br /> . c. <br /> i <br />�. - - — ---- � " <br />