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i <br /> I <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT 1 <br /> everett . ' 10510- �{/��'" � 1 <br /> � _ 1 � i <br /> CITY ENGINEERS � � �� � � <br /> EVERETT,WASHINGTON - PERMITNO. ��� - - � � I, <br /> �;, <br /> The Undersigned •�'�� / '��'��+�� � ' � � "�� ' ` - / � <br /> Hereby applies for permission to - �7`i �% �✓ `�' � -',�1�'r�r - � � <br /> /., �,; .� ._. �;_.-: ^ i � � , <br /> At the tollowing location� %� 5 �� ��� i->r_�u-� - I <br /> I � I <br /> i <br /> SKETCH _ ,r <br /> (Woric to be done) � � �"�.. � % %�;�-� 7 � <br /> � � <br /> ��� V �"��VS, y$�.,r <br /> ��i� _, 7if-y� <br /> � /G" <br /> i <br /> z � ' <br /> � � �� <br /> � <br /> � `�-�� \ <br /> � � _ <br /> i.-� ;/ <br /> r , - <br /> � I i <br />_ '� � � I <br /> � ,� ` �� " <br /> � � � ; <br /> QW u <br /> j �ll o � �-`_� _` <br /> �;cf=1 7-u L-�NG�c-.a_=-�� <br /> i �� - .� ^: .v ,—. �s�.:,�cT n/w <br /> �( ���rCJ <br /> � i <br /> j \ JM1` � � . � <br /> li //.il. '" ✓ � � KiL" \ � � SE _. � <br /> I ¢ � I'✓r,/Tt .. _ 1 �_ , <br /> �, �Exi�V�rvn% <br />� � /8�A5PH.4G T P�9vEtilf.vT <br /> I DeNEwAY SECi�ON The undersigned owner hereby 3grees to hold and �, <br /> ! NO SCULE save harmless the City of Everett irom any and all <br />� �. �s':�A=—� ciaims for damages that may arise because oi installa� I <br /> I � tion and maintenance o( the improvement her^to . <br /> � I" LIP � N V ,pplied for and further agrens to remove same upon � <br />� � �30'�___._ ___�.30�� �b++ . n nq�e irom the City to replace public property , <br /> II , �� /�'� r� dalvag ` ihereb ,� ' <br /> I ��/ �' <br /> ' �, �ti,�, ��� Sig pure of Applican �� <br /> / 1 /� /O /�!//Ir2.�i't:s/Gw 4J�c/ <br />� COPY OF THIS APPLICATION TO 1 . � I� Address � '� <br /> BE POSTED ON JOB5ITE. I ��S-� - � 7C�v <br /> Teiephone Number <br /> CAIL ENGINEERING DFPT. 259-8811 (fj�/��7� <br />; � 7u HOURS [3�FGRE CONSTRUCTIONI Date ��� <br /> �-C� -tr. �o <br />� CHECKLIST . ..�� . . 4'� �-��' F elL � ' . <br /> Water Valve De t. Ap ova <br /> Drainage <br /> Curb&Gutter Engi / _ <br />� <br /> Sidewalk Water P ver3Cfe �-Q;aFI; � <br /> Street <br /> � Communications'= � �� -� <br />� � Inspect Si at re Trattic ���� ' <br /> '!, Plannin � � :�tL. ?(q <br /> II ace W� Z �� 5eu�er. D _ �,�, <br />' !, �ii�it'../.—/1 /JlG'+4.4��t/�' �//T/� � '� <br /> j Remarks ���/�.�� <br /> Note: Origina�to ustomer <br /> I t covv co F�ie 1 n 51_0 Approved J���_ <br /> 1 CopV to I�spector <br /> � D3te/�Cpproved <br />