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APPLICATION FOfi RIGHT•OF-WA� USE PERMIT � <br /> everen 1 Q 9 4'j 1 <br /> � <br /> CITY ENGINEERS ,/ ��/ <br /> EVERETT,WASHINGTON PERMITNO.� / ' <br /> TheUndersigned �� �� •' � �_% �..'� :`�'. i�.�Yi`L��_�� , <br /> , Hereby applies for peimission to_ ' ���-� •�� � ��'' ' '��'r-✓�-i«'% - � <br /> Atthefollowinglocetion_�°� �-✓-�- ' ��� "� <br /> SKETCH � <br /> (Work to be done) i . 1 � I <br /> ' i � , �f�` '�I� . <br /> � 1 � � Y� <br /> �%"�., -� <br /> , ��- <br /> : j , --, <br /> � �:. , <br /> ` � �� <br /> - �,` \ � <br /> '�r} <br /> �� �� � � �� I <br /> � � <br /> � 1 � � I <br /> ,- <br /> �,� - 1 , <br /> �= � � <br /> f � <br /> 11 .� � <br /> � <br /> I 1� ;;t, i n � <br /> � � . � „ , ,_��;��''� i � � <br /> _1___._ , ! <br /> ' :� i <br /> ,I 1 , � 1,- � I L." d�Lt1Yl'sw..y d.y. � . <br /> i11 ' I �� ��, <br /> EI^�N �Y- �Ja� \' —I^� �V \Y� 8����;:,.u� L� � <br /> � . .� _ " 3 � �.t� 0 4' <br /> � �. _ _. _._.__ _ _. '�-�N � v��..,vY <br /> �� � -_ _ c . _...__._ � .. . .. ___.) --'-�---- <br /> � <br /> . ��' . .--- -�f�--- s�-. .__ . . . .._ „i . ._ . <br /> � � �' � <br />� i _ .� C..L-, -� <br /> , � <br />, I , �� T;:�i , �. �� <br /> DawEwar SEcnoN Tlie undersig ed owner hereby agrees to hold and ��. <br /> �� NO 5r,a�E save harmles the Ciry ot Everett from any and ell <br /> � � claims tor d ages thnt may arise because of installa� <br /> r------- —_ . .. <br /> , �� i" L P tion and a' tenance of the improveme t hereto <br /> '. `�--�--=—� appliec�f r nd fur:her agrees to�r � e sam pon <br />� �. h30.'�__ _�- ... ___�.34�� noti ({ the City and to rGpfgo� ublip rop�ry <br /> dam�e t � <br /> �'r1i_��,_� <br /> Signature af A ican[ <br />. . � � � � "1 6�Lik'�l. ��t.J <br /> �-��- � � � �I Addres:: <br /> � I COPY Of- THIS �,PPUC/1lIOM TO . <br /> �', I BE POSTEU GP� JOUSITF. ,I � ��' � '� �� � <br /> Telephone Number <br /> ; C,>LL FN�)��J'_ERI��G DEPT. :i9�8611 <br /> � :311UUf�`: d::FOF,E O�JhSlRUCT10N Date y0 <br /> , _. . . ��' ��"1�77 f�. <br />� rCHECKIISf _ Fee <br /> r Wacer vnf��: Dept. Approvals <br /> Drainnge <br /> Curb&G�nter Gngineers_ <br /> I Sidewalk--� /���' %:,.,. „ , _ . .'� • - Water_ - <br /> Street__ __ _ � <br /> l:ammunicetions <br /> � Inspector's Signature Trafiic _ <br /> Planning _ <br /> �aie----- ---- - <br /> pemarks <br /> Note: Original to Customer <br /> , �ou� ,oF��� �.Q9�7 — <br /> 1 CapV to Inspector Appraved by <br /> Date Approved <br />