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everen <br /> APPLICATION FJR RIGHT-OF-WAY USE PERMIT �' <br /> e l080? <br /> CITY ENGINEERS <br /> EVERETT, WASHINGTON PERMIT NO. �� �- i•�� � <br /> The Undersigned � �l- � i� [�(� TP� <br /> Hereby applies tor permission to�p.NS TIF✓!.' r� /F ��iL/ . i vC En T� <br /> At the following Iocation�J �'J C. �r 7/Y, � �il/17 <br /> SKETCH <br /> (Work to be done� , � <br /> \ <br /> ' <br /> �: <br /> . <br /> � � <br /> �- r <br /> ;i�c•� r <br /> J <br /> I \ 7�y ;�7'. � ' <br /> ---- " � i,S 7G � <br /> � <br /> ----- - — ----- - - ------ ---------- <br /> I I �� i <br /> �^/n <br /> ' ��Y '.-' \ � '. <br /> ' <br /> i <br /> �U � <br /> � __r—i <br /> � <br /> — ---- —I_ � a�,�_. � 3 <br /> I �J <br /> I ly <br /> I J <br /> �.1 <br /> � _ --_�_ <br /> �� DHrvEWAY 5 CTIGN The undersigned owner hereby agrees to hnH and <br /> ! NO SCaLE save harmless the Ciry of Everett f�om any and ell <br /> `. f'-- -""�--" " - � claims lor damages that may arise becaute oi insta a- <br /> �" �iF � tion and maintenance oi the improveme�t here[o <br /> applir.d for and Iuriher agrees to remove same upon <br /> ����� - -� � � +�30� notice trom the City and to replace public pwpe�ry <br /> i dam�� 1 I�r� � -- <br /> i <br />, I � <br /> Signat re ot Applicent � /� <br /> � i �' U�l ��1�i.�E"4/1�� <br /> . COPY Of THII; APPI IC�-flrllV lr) ' Address <br />� ' Rf PUSTF D OIJ JOf1SITE . a�� ���..,� �1��_ <br />� i � Telephune uN mher <br /> C�LL �NGINCE 71NG UEPT. 259 P�t i I ,� '� � 7 <br /> 11_ <br /> :'11If�Illl'� RFfORI I'i1N;1R11(�� i� "�: 08[0 � � �� - <br />, �r,� <br />� CHECK LIST Fce '� � <br /> Water Velve <br /> Draintge .Dept. pQp�rovels <br /> Cwh&Gutter Engineers__�_� �1�+�__ <br /> Sidewalk " <br /> Water � . <br /> _______. __. _ { " ^ ��' <br /> Street y� �y�y <br /> Communications <br /> Inspectc s Signature <br /> Traf(ic <br /> Planning__ <br /> �ate_ . __. _ .. . ._._ �ul✓ ��l?4� A.�r.n.L��,. �i-e �t✓' <br /> —��� n <br /> Remarks <br /> No1e: Onyinal Io Cus�omer — <br /> , ��u� �° F;�� 10 8 0 3 <br /> 1 Copy to Inspr.r,tnr , Approved by �/ �� <br /> — —�-�,�t_�-`-- � �-� �.��_ <br /> Date Appiovrd � <br />� <br />