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APPLICATIOPJ FOR RIGHT•OF•WAY USE PEFMIT <br /> e��r�l! <br /> �� 1.C1659 <br /> CITV GWG'MFGHS <br /> EVERETT,WASHINGTON PERMIT N0.__ ' _ <br /> TheUnder:igned— ---- -- _---_----- --.---- ._— . <br /> Herebyapplies(orpe�missionio i _� �) �� i i��� _ <br /> At the following Ice,tian I __.___ ___„_ <br /> SKETCH <br /> i'Nork td be donel <br /> � _' ' <br /> �1.� <br /> —`_���� <br /> / ''_`` <br /> ..�_��.� _ _. � �,� ,� '`,1 <br /> ( F i l • i. , I ( �� ,' <br /> . � � J' i� <br /> I �\\.�� �� %�+ % <br /> .__�. \ / /;', <br /> �� ���� j;� <br /> , ,, <br /> � , <br /> ���;,,: <br /> � '`.- <br /> ,� � � �, � <br /> . - <br /> I i <br /> l. i'�, , . <br /> , DHIVEWaY SECTION The undersigned owner here6y agrees [o hold and <br /> NO SCALF save harmless the City of Evere[t from any and all <br /> r---- - ---- - - �'1 claims for dameues that may arise ber.ause of instaila� <br /> ---- � tion and manterance of thc improvement hereto <br /> I' I.IP _ <br /> — applied tor and I �•Iher agree; to remove same upon <br /> 4.30�.4.. � - .�.30� notice iro,n�� .Ciry/� J to�eplace public property <br /> dam.�vdtlTere Y //� <br /> \.//�r 'i_ � ] <br /> Signa ure�ic� <br /> �:7- 1 / V V <br /> � C(IPYIII if�ll`� :�PI'I.II�A; I��fJ li� Addless_ _ <br /> iii r�i,i � nn,. _iu�;snr- --��L��(/rrt %.�'l03 <br /> ' i.lu l. I N��i!�;I�f HING DEPT. 259�8;�i •� Telephone_[Vumber <br /> J_5 \ (�%O � <br /> l.i i iU��!t , P.t ! URE CpNSTRUC7ic�rd Date � — <br /> : <br /> CHCfK LIST -----�-��.��_!:•___.. _ _.------- <br /> Fee ' <br /> �9ator Vaive pept. Approvals <br /> Dr.inage <br /> Curl�&rutter Engineers____. _ _ . ___ —�__ _. __ <br /> Sidrwalk `Nater______ � <br /> _y�_—_ <br /> ' Stteet---. <br /> � <br /> ��,Q,(�, �, _{p� _. Cnmmunicntions_ <br /> Inspeclor's Siqnawre <br /> T�attic <br /> �� 7 Planning_._. <br /> �-�``f-��_ lT � : <br /> LI�L' / _--- --- <br /> Remaiks <br /> �lote: Oriqinal to Ci�stome� � �� � <br /> , ��„� �oF,�� ��r5a - <br /> 1 Copy to Inspertoi APlnutmd by <br /> DB�e APp�ovrd _.___' _ <br />