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� <br /> cvcrcn APPLICATION FOR RIGHT-OF-V�'qY USE PERMIT <br /> � 10525 <br /> CITY ENGIP�EERS <br /> EVERE� , '; qgHINGTON <br /> TheUndersigned �1�h4e � Q A � PEI1fdITNO._](,—JSy <br /> r�26r-rin <br /> Hcreby appiles Sar permission to__�p � t t-r u r t � ; <br /> � 2 fc L�! <br /> -�'_ ' 2 �-O- /N � <br /> At thc tollowing location �, � <br /> e <br /> iKETCN � <br /> Work to be done) <br /> MM <br /> — i <br /> �� <br /> r/L v I <br /> 4i I I <br /> t Q / <br /> � uvl P� <br /> �,a <br /> '� ,cu <br /> N P n; I <br /> �� �H <br /> � � ts�n . �0-30° Po�kir,9 sr���s. Q -- —40 <br /> — q'" 14� s.'�', c./"• ✓ ' � <br /> .� . ' Asph. /rs' s '.�` � i <br /> oF�¢ . i <br /> �Fr✓4l/s r1- a a ? ,I — <br /> 1 _ � �.L ° a (� ' t <br /> I' J <br /> .,'�� � <br /> frCO Q <br /> ya- P w.,e. - _ <br /> �= 202' ref'if � <br /> — • aFIUcG Sf � �.{� � C <br /> 30i0 ; o <br /> ��3 i 3 � � <br /> — w< o � <br /> i . �i _ 14 -_ _�� , � <br /> -- _, �3' <br /> � <br /> � <br /> � f'I � <br /> ,, � � <br /> , <br /> i=; . J � ',� �' <br /> (Vof� ,� Serv�t r a.� l��e ,, C� <br /> �/��-,;,�-JwQy ¢� 6�� �� � <br /> DRIVEWAY SEC7ION /)i,���'�+� �P fOP C �'k U//�o� . <br /> NO SCALE '� Thc undersigned owncr hereby agrcec to hold and <br /> --- 2. 3� .! /G ` 7 G sav=harmless the City of Everett from any and all <br /> � ��" �,�F� � 7— ctaims for damages that may arise because of installa� <br /> �n lion and maintenance oi the improvement hereto <br /> �— �30" �.�, �J. Q�j' applied tor and turthcr agrees to remnvc same upon <br /> ��----- <br /> � netice from the City an�i m replace public property <br /> damaged thereby, <br /> Sit na uY rc uf py¢3--��'_��/� � . �� _ <br /> Y OF THIS APPLICATION TO --� - `� ,y � <br /> 'OSTED ON J06SITE. Addmss --' . <br /> L [NGINEERING D[PT. 25�J-pg77 Tclephon�N�m�'�L( <br /> OURS 6[FORE CONSTRUCTION <br /> -- Date <br /> CK UST <br /> r Valve Fcc <br /> "n� Dept. A �rovals <br /> &Ginter `C.u�-,y �7� ���: v <br /> valk Enpinccrs <br /> 1 Wa,�. �.�i� <br /> —s-.s��s.�.. _h� <br /> Strcet � <br /> ctor's Signawrc — Communic�ti�ns <br /> Trallic � � <br /> Plannin�.r %. ��' <br />