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� APPLICATION FOR RIGHT�OF�WA1' USE PERMIT <br /> ����.���� 1� . , � <br /> � �� � <br /> � <br /> CITY ENGINFERS �I � <br /> EVENITT, WASHINGTON P[RMIT N0. / � =�� <br /> �Thc Undcrsipned.�,r0/�.'�L11/0�T"o ti� — <br /> HerebyapPliesforpermissionto��^ �,�!'�-("�_y,i_1-� ^�S� �i�-S�[�i���,.,' I ��: _ <br /> At the following Iocation�G'_j_Q_�� � • /�� _�j7 S r _ <br /> SKETCH <br /> (Work to be donel �E A-�-r�.0 I-(FD <br /> O,L' f"o ��is7/r.�7`' ��/��/ <br /> i' <br /> � /P��� a�..� ,�e�,/,,..�� ty,�' �9 JJ' ��..td- �.��-�` • <br /> � ,��•..�e G'nhc.�s�'r 6 '� �"/�i�.� �"/�/naa}6v �ti/ .5�c7''/.n� ' <br /> ORIVEWAY SECTION The unticrsigned owner hereby agrees to hold and <br /> NO SCALE save harmless Ihe Gity of Everett from any and all <br /> I+-- --� claims tor dama9es that may arise because ot installa� <br /> (I" LIP tion and maintr.nance oi the improvement hereto <br /> _ — applir.d lor and further agrees to�emove same upon <br /> �30'�__ 1_______ -L�� notice Irom the Ciry and to replace public property <br /> d age there y. --- <br /> ignaiurc o( pplicant <br /> �1���_��D.1? �oN,J <br /> �COPY OF THIS APPUCATION TO � Address �J Ob0 <br /> POSTEDONJ06SIT[, �y���Z <br /> CALL [NGWEERING DEPT. 259�BR11 Tel��one Number <br /> y — � '7 <br /> 24 HOURS 6[FOfIE CONSTRUCTIONJ Date <br /> ---- ----- --- w 2 .slo <br /> CHECK UST Fee <br /> Wamr Vaivc Dept. A provals <br /> Draina�,�e S� i <br /> n <br /> Curb&Guncr� Engineers�� � � 1s.r-' <br /> Sidewalk � Water <br /> Strcet <br /> Communications <br /> Inspeclor'sSignature � Traific _ <br /> Planning __ <br /> �atc �— -- --- -- <br /> flemarks — — --� -- � <br /> -- — -- ' <br /> Nnlc: Ori�.pnal to Cuslnmcr � <br /> 1 CuPY lo I Jr 't . I � ,� ., '_— _'—'___"—_'______ <br /> I CnPy I�i In.prclui AP�ttuved by L <br /> H <br /> '___—'—.___"__-"_.__________—' �� <br /> fl,i�. Aniunvril <br />