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APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> rverc8 <br /> � 1� 028 <br /> CITY ENGINEERS �� �4 � � <br /> EVERETT, W�SHINGTON PERMITNO.__ <br /> The Undersigned _ � - �T�ON VN U�1 � D Q p <br /> Hereby applies for permission to �-O��'gV L� /� p d�G�"� D � x � C7 ' '`' �I <br /> c.w. c�D,gQ .� u ; <br /> At the following locatio�_ z � CZ�- ____ __�C���L. � C - _____ _ � <br /> SKETCH <br /> (Work to be done� <br /> � ' � -4sd cuq7-� t�vE- �Riuc wr+y <br /> � ~�U'��r�'/'/��cH��'uD/�L,'CU To RE►�nA� �1 � <br /> P�1Ur=/�. AUE' `" <br /> : __- __ _- -- - <br /> ; -�----- -- ---- -- <br /> � . <br /> � -- --------- ' <br /> REMov� Exl r D��vEu�Ry <br /> �j I � �, 1ZEPl.^GE ��Ti-1 C URR GU TTE1Z <br /> � �.'i SIDEIUq K � I <br /> �,�Tc� , 1��� 2 -'='� vF,�_ <br /> �.�N� �z� � � <br /> � o F F c,/� '�' . �L E i — �o' I <br /> �� <br /> o F p�/ul 5� --�'ok�! <br /> . z � <br /> eo� R,w J <br /> I - — �y' <br /> I �------ � ------- -- I <br /> I • <br /> � <br /> - �k�s r.�vG �u� ' <br /> ORIVEWAY SEC7 ON Thr undersigned owner hereLy +e�rees ro hold anA � <br /> NO SCALE save harmless the Ciry of Evcrett from any and nll � <br /> - - - - - -- ��-r" daims lor Jama�s that may arise because of installs� <br /> _---=_—"`� � tion and maimenance of the improvement herelo <br /> ••�y " . <br /> applied Inr and further ngrees to remove same upon <br /> ,j.+�'�� ----- � notice f�om thc City nnd m replace public property <br /> dam79�'� �hcreby. �) . <br /> , � �� , , __ � <br /> _ , ,� �,,� . �. <br /> � $�gnyture o1 .4pplican ��tJ2� � � <br /> �� , � �r�l-�A ` AQ(rN6To� <br /> COPY OF THIS APPLICATION i0 e'L 4�lclress <br /> n � � <br /> �-_-'_. <br /> � BF POS7ED ON JOBS!TE. 7� _".I j�j__� <br /> ' f�J�l ! I tli;ifyf I �+IM�� f�fPl �� ��"=�.1 i �i.�� � Telephone Number — � <br /> x ll � ----�–�-75F----- <br /> ... i � i i,r. . f � i �� � i � :�.� � w � i i d�, l� �, J� Date <br /> �i�/ —1�—F��__T,yPo ��r <br /> CHECK LIST Fee <br /> Water Valve 4e '� � <br /> D��inage ��%� <br /> Curb &Gutter �}s.� + EnginFers_. . <br /> Sidewalk Water � <br /> ---- <br /> � � � i �' !" /_ <br /> �'. � ,� � � Street__1 :-- -"'`�..�` "�—� <br /> Cammunicetions - "> ' �- ..� <br /> � <br /> !_ ector's igna �e <br /> .. .__- —__ T�effiC_ 17� ,� <br /> � --� //���I --- Planning f � <br /> � j__�- Y.______._ . <br /> 1d7��"� ���l� / �XCX�n�/� <br /> emarks ���� <br /> Note: Original to Qisio ie��� - <br /> , �a,,Y �o Fi�e 1 n � '' -- � <br /> i � 1 �- <br /> 1 Copy �a Inspector Approved by �/� <br /> 1),��r 11Pp�oGed ._--_ <br /> 9����/� <br /> � <br />