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APf�ICATION FOR RIGHT-OF-WAY I+SE P[RMIT <br /> rvemtt <br /> ��� 1.0479 <br /> �j��J,�/5� <br /> CITYENGINEERS �' C'rl <br /> EVERETT, WASHINGTON PFRMIT N0. � � "- � �' fi ' <br /> The Undersigned_ � o n J , {� � n�- <br /> �— � -- -- <br /> Hereby applies for permission to f : i� ' } � r f r. _ ZO /� : ,�h . �t �fu� _____ <br /> �t the following loca[icn L., 4 Z_ g E C�_��� /�� <br /> SKETCH . <br /> (Worktobedonel I 'I .'rn }r�in Nx� :f�h f �`�Fn rl� �fh ,/�� <br /> �'�fO�flu( P 1�� ff1�5 f�rt"� � (lr p� \EA�3�rn� �i���/r��' <br /> n <br /> �„� t� � ; ,,r� r. ;; � <br /> t: <br /> ---- �-� > ;3 <br /> ---- � <br /> � ,j � �' �•� <br /> � ;.n', i ��. I�Y <br /> SI t/�_� � iI � �> <br /> I' 1 � <br /> I Q <br /> -` \ �� <br /> ,:, i� <br /> � 1 a.i.]�� "J <br /> \ <br /> -- - P ...,..�.�, 1 , � � <br /> � F, -��-- � <br /> ,.� . <br /> - ,�. _ <br /> _ .� � _ _, <br /> �, � <br /> �, <br /> � <br /> a� ��.1 ��,.IF <br /> ���'�� .w <br /> -/�o/�c <br /> DFIVEWAY SECTIOK The unde�signed owner here6y agrees to hold and <br /> NO SCALE save harmless the City of Everett from any and all <br /> Z�i - <br /> -"� claims for damapes tha[may arise because of insta':a- <br /> � �I" LIP �� tion and maintenance ol the improvemr.nt hereto <br /> J applied lor and further a�rees to remove samr upon <br /> �30'�_ -r___ . .. I .30"� notice trum tne City and to �eplace public properry <br /> T <br /> dama icreUy. � • <br /> ;} �� i � <br /> Si�nuW:e n�a -- --- <br /> . Z�`� � G��� <br /> �' t�,nPY Of THIS APPLICl111UN TU Address !;,�<.�-�. Wa..,z-- <br /> '�I I'OSTED ON JO�'illE. �. O �i <br /> � Tel�ne Numbe� — <br /> � ��i I FN(�INLFIII�;f, DCPI ?S9Aft11 J /� - % / <br /> V � <br /> .�: �nnr,r, i�.liui� , . � ::��� ii� ,�.i� Date <br /> d� _ •`r � ! <br /> CHF.CK '_IST Fe�e =�, �/� �� <br /> Water Vaive DB Ap o IS <br /> D�ainage i i � <br /> Curb &Gutter Enyinee � <br /> Sidewalk <br /> ------ . Watei_, ��v ��i z 1 . <br /> / ��( <br /> � � Y_.._ G�:r�ot �v�.� .� , �. . . .. _ . , . . . .' . _ Strr.et.�.f���_,./ . . . ------ <br /> — � � � -- - . . . .�..� , � - .r Communication _- <br /> InspEcto�sSignature � Tralfic _ ' �', S 2� �7[: <br /> i <br /> � � _ -� � Plannin9- � '% '� 'y. <br /> � c�c ii' <br /> Date _ _ _ �rwr ✓- �Su C:. <br /> Remarks — -- <br /> Note: Ongmal to Customcr ------ ----- <br /> 1 CopY to File �O�7 9 --- -- <br /> 1 Copy to Insper.tor Approved b T/yj/ <br /> .._ =�/.J//FJ <br /> Date APP�oved - -_-� <br />