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APPLICATION FOR RIGH"-OF-WAY USE PERMIT <br /> evcretl <br /> e 1� �'� <br /> CITY ENGINEERS -.. <br /> EVERETT, WASHINGTON PERMIT N0.�L _-_.__ � '_ <br /> The Undersigned ���� � . =� �_-_�� ' --- — <br /> Herebyappliesforpermissionto ./1��sf.�.�� t � :l� ���vb +/f I��✓✓ __ _ <br /> At thc following location /� � 1n/ � a N /�-I �- i � ._ ____— <br /> SKETCH ""�b <br /> (Work to be done) <br /> _ �� . <br /> .,,_ - � I'i'�- ' !' <br /> \ <br /> , (rr�f�LQ.� � <br /> ����� FOJY' P��C � <br /> �� <br /> ----- \ 5 <br /> ,, � <br /> � r.i.t,. ,; � <br /> r flc. s_- � . <br /> . 1 <br /> . __ ___. . j' ' <br /> i <br /> t.�, <br /> '� \ <br /> I <br /> 3� � <br /> �� � Frc�ese4 � <br /> �o✓r P1eK <br /> r <br /> � � <br /> , ' ' Nroyys� �;a/owt�en � <br /> k�vi [���,�„ ���,i L w''Y�"_�------ nf Po.✓a• Pnle <br /> _ -� i s r-- <br /> ; <br /> p.��r'trieJ MH• .� � <br /> _ C���- , <br /> /8'� Se..vav <br /> Nj N <br /> ' __ _�^I '— W '_ v� - �,I. .. _ \y .___ .�.". . <br /> �f�-�.0 �.d',r•��' (tIJ� pRWEWAY SECTiON The undeisigned owner hereby agrees to hold and . <br /> NO SCALE save harm�ess the City of Everett irom any and all <br /> - -- - -- --- - � -� - -� claims for damages that may erise becnuse oi installa� <br /> �� (I" LIP � [ion and maintenance of the improvemr.nt he�eto <br /> applied for and rther ag es ro remove same upon <br /> �30'+_ _�— �30"� notice fro an o�ep�ace public property <br /> damaged t �� <br /> � �'=-1L---__ <br /> Signat r�pt j�plicay}�jJ �� �Z�� <br /> �.i0/ll Jr'LaiL' ✓ <br /> ! Address <br /> fUPYOFTHI:; /U'PIIC,911��r,1 ��i ' <br /> 8f POSTED ON JOI4;171 -���' �Q <br /> Telephone Number <br /> � r1I l f:NGINI C RING DEPT. 269�l3H I � <br /> .�.� n(�niHS I1Ff OHC c(1N57HUf,l lu�a �� �-(T� �� . ��� <br /> - - ��?�-_r�iE ___ '���-C"---.... <br /> CHECK LIST f-ee � <br /> wa�er vaive Dept. Approvals <br /> DrainaBe i� :"� ;�%�.. �/'�/ <br /> Curb&Guttr.r Engineers_�� :1(} ��J�, <br /> Sidewalk-�---� Wa�er� �'f ,A �� ..,...-�.1��1 � <br /> __ __. .�_ _- pF�61G��\fltr�lfdL" _��_���li. <br /> � 1 . . $IfCel_���,..,.<�."'_._ <br /> / / J .__—______ <br /> �__��%�,f�l_ � __!( ' � Cammunications <br /> Inspector's Signature y�-{��• ,�� Traflic_____.__ <br /> � /-�^GCiI//ir�� � -- <br /> - - ----�._-. 4•-----f f. . .__ c_A`'�"` ' . �yi—1 <br /> -6ate <br /> Rema�ks <br /> Notc'. Ongu�al tu Cusluine� c - �� .. . <br /> 1 Copy m File 1 O�7?5 _ —�� <br /> 1 CoPy to Inspector APProveA by . � �1 <br /> J � '. <br /> __"—�. .l� - -fs �1l�-�.�.__.._.. ._ <br /> �IIC/��1�]fOVI'l� � ..__ � <br />