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i C�'C . .. � - ' � �, <br /> ' ' � •UCATION FOR RIGHT-OF•WAY U�ERMIT 11176 <br /> �, evereR <br /> .� NT[ <br /> �.uq' � _. . '� . <br /> _._ � ./ ,-�. ,, /� / <br /> / ��-,�;f ,�,,, c�'� ,1. �";,� r ,�' �' lc=--�. <br /> "�CITY ENGINEERS '/�„ � r�� i_/c"t17S" r� <br /> ���� EVERETT,WASHING70N � \ )y�� ' PERMITNO.� 7� '— CJT <br /> The Undersigned�'pTl��-'�1- �� `U� �_� ��- � �G � ` �,' J <br /> Hereby applies for pertnission to_�. ��✓h='� 7„S '�'7' -- p y,�^.� -�-. � `A� <br /> At the fo�lowing Iocation I� U Z [��c'� f n �t l` S 1� <br /> SKETCH <br /> (Work to be done) �?� p5 / S <br /> �/•CG. 5-lb-�Y <br /> DRIVEw4v SECTION The undersigned owner hereby agrees to hold and <br /> , NO SCaLE save hartnless the City of Everett trom any and oll <br /> r�--- -�► <br /> claims for damages that may ert�e becauss ot Installa� <br /> 1 i" LiP —71 tion and mainhnanee of the imp�ovement hercto <br /> ��3 30,. applied for and further apree�to remove fame upon <br /> � - -- notice from the Ciry and to replace publlc proparty <br /> dama e her by� � <br /> � � � e ' �� <br /> Sig a re of AAP}�,,ant �� / � <br /> Add'dse - /() lS/eC- �)�CJ�;c)YL�2,� LEji <br /> COPY OF THIS APPLICATION TU �y�L�p <br /> BEPOS?�DONJC951T�- --� .�SL,,{�. �/^'J <br /> CALL [NGINEEFiING DEPT.Y59�8811 Tclephona Number -- <br /> �/- i/- �7X <br /> 24 HOURS BEfORE CONSTRUCTION DateY <br /> CHECK LIST Fce <br /> Water Valve <br /> Drainage Dept. App�ovelf <br /> Curb&Gutter Enpineert <br /> Sidewalk <br /> Water <br /> S�reet <br />. Inspector's Sipnature Communications <br /> Traffic <br /> Planninp <br /> a te — <br /> Remarks <br /> 11176 <br /> Approved by <br /> R. fi.�. e...._Y.� e <br />