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APPLICATION FOR RIGHT-OF-WAY USE PERI�IIT nO <br /> �.�crelt 1 l�L p <br /> � <br /> ; 7 � <br /> CITY ENGINEERS " ' � -� <br /> FVERETT, WASHINGTON P�RMITNO..____�L._-'_� �' <br /> The Undersigned__�LidLL_—�f-/JLL�..= -------------------- <br /> He�tbV r ts for P�rmission [c _. -.�:v>:d' � Y �f J^� :'i.�:�-Y�' - <br /> Atthelollowin9location! i L—..�.�-1-r..•:---'r��=-�:2-- ------------ ---� - - <br /> SKETCH <br /> (Work lo be done) <br /> � <br /> DRIVEWAv SECTiON The undersignrd owner hereby agr�e� to hold and <br /> NO SCA�E save harmlesa thr Ciry of Everett frrn i any and all <br /> _ ___ _ -J claims br damages that may arise��er mne ut inttalla� <br /> r---- � tion ond maintenance of the imprrve ��ent hereto <br /> �C �Y' LiP �_�� anplied for and further ayrees to rem�.ve•ame upon <br /> I 30.1 � T— �30"� nouc lrom ihe Ci�y an�o replace public properry <br /> �� � � - ... da�,. (�ed ther9l� <br /> [/ <br /> pf� icant <br /> �� _/ 3Z — <br /> dd �1 ���)��� � <br /> � . rPl' i!i 11117„�I'I'I �� �ti I� : I� , _ )�S� � 'l� ��.--l�cm« <br /> ��! PU51 EU ON JOB511 f . 7ele hon umber /� � � <br /> ���,^�LL fNGINEERWG OFPT. 759P,�'.�� ' ��1-7u�Z-_,--.1.11_-�-7-7 <br /> Date ^ � <br /> . iiu� i�,�; '! ' r���� ..� ��, i ..�.c t ��. �: '� y-�a ,� x/ <br /> ----�1==�"'""- .. ..-- <br /> - Fee <br /> CHECK L:ST <br /> Water Valve Dept. A proVals <br /> D�aina9e ^ --! '� - <br /> Cur6&Gutter Enqineurs__.-., 11-+t�-� <br /> Sidewalk Water--- . .--- <br /> - ---- -.. . _ Street__ .------ --- �--- <br /> Communications ---- -� <br /> Inzpector'sSiynature T�aHic___ —�—� � <br /> Planning _ --- - - <br /> _ <br /> ..6aie � ---- — <br /> --- -- --- ------ — <br /> Remarks --- - <br /> Nutc�. Uriyinal to Customer ) ___ _. - . <br /> ! CoPy to FJe �. � � ! �� APprnveA hy <br /> 1 Cu��y u. I uPcr.m� _ . .. _.._ <br /> U:�e ApP�oved <br />