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• APPLICATi�N F'1P, RIGHT�OF-WAY USE PERMIT <br /> everen <br /> � 10430 ,�,,::_� <br /> l' <br /> CITI' ENGINEEq_, ��(���r- <br /> EVERETT, WAS��INGTUN PERfd1T NO __;' :' - � � <br /> The Undersigned__1i1��—�j C_�J:�.L1�Zf� : ��. C, _____ <br /> Here6y applies tor permission to i'n, �. f.- . 1 _ � /a • -h� /1 "/n- /�n.�)�fl;.nO"�/,.7t �_ <br /> 7� � —� <br /> — --- ��J? NJ��i6,,« -Or-4��G - <br /> At the tollowicg Iceation__ —�5�1, r—_�� � r _C. ��__Jt o c. �l -----_—..--.---._. ___ <br /> SKETCH � ------ <br /> (Work to be done) <br /> � i � L' ' ` I__ ''_. , . . ._ � � i � . . <br /> � I I i <br /> tl � I ll I J� � I . , I I I I I i I�, <br /> � � � � <br /> \• 1 . �'� ' ' � <br /> � � , HI � � ZF�j����v�N - -f � � ..�, <br /> � >. � �,_ 1 <br /> Tll ' � _i... _ --. =— - –– --=---c-r. � \ ..l–_ -. <br /> � i <br /> � _. I 5/� ��Jv:_.. <br /> ll >�w�• � <br /> � I 1;:) � <br /> 4'Ir�p � � . � <br /> . l.�'F_i O�•J+z: <br /> '� � -� �- i �� � -- ' /n/ N!"-W <br /> � v � � E-�.�EMF+VT <br /> ; ���� . � i C', ' Cl�r,a, r� . �.r. . � �. ��.1 _ _ _ � <br /> � � , , ,.r <br /> f k�� � <br /> '1 � i <br /> `� <br /> [�c n n� SCr, /P <br /> �'lZ.f.,/:_ � }�1�IG <br /> ORiVEWAv SECTION The undersigned owner here�y agrees to hold and <br /> NO SCALE sa�•c harmless the Ciry o1 EvereU from nny and all <br /> f' � " -- -- 25�--� -� claims tor damages that may arise because of installa� <br /> �i�• ��P _� tion and maintenance of the improvrment hereto <br /> applied for and turther ngrr.es to remove same upon <br /> �30'+. T__ _ . �30"� notice from the Ciry and to replace public property � <br /> Aama e� ihereby. - <br /> i � <br /> 5� awre of pplic l — <br /> n -_� � .,- <br /> � �I'Y Of- IHIS ,: " . � , ': i � �� A��- ,�r �:i��i-��_��y, <br /> '. � P0S7F.I) Ofd I� I I '�. -�=,r � -.' / �i4a" t;l ' � F '' � � <br /> Telephone IVumber <br /> t:;��: I. I �1(;INI ' �nid,� UI_P(. 159-8&11 � :�� �,1� �jp�i'1 . <br /> 1Cl (J <br /> 741t���ii!�:; 8[ ItiFl i ��i.,:.�i;urin�^J Date <br /> li � " <br /> .� !(� <br /> CHECK LIST �l �` �' ' Fee /') 5l7 7j <br /> e�" /�8� /.� �. <br /> Woter Velve f- � <br /> D�ain,ge <br /> C�rh& Gutter Engin ers �/ <br /> SI[IP.N'�II("' Water u-� ar a c�� ��'� <br /> '�� /// $IfCC��<.�__.�.i. __ _ __ _- .__. <br /> Inl�� (/JI � Cunununications .. „� <br /> :t r's5lgnature . . . . Tratfic �. '9 + <br /> A k ��'i•i <br /> _ f Z .� I -- / �o . _ _ ____- _ . Planning / .'r . , ( <br /> -[7ate 5 Ptu�r, �V � 7.6u�o s��v-��/J, �'S�y <br /> _ —. _ ---_ ..__ __._ <br /> Reinarks — —"—`----- <br /> Note: Onginal m Customer — -- ���� <br /> t copy m Ff�e (� � --- <br /> 1 Capy ta InsPectur � � AUProved by(i ����� <br /> — / i � <br /> - � ;:�'_�l,s;�� <br /> n,n,��Ai„>�o��d <br />