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� <br /> r <br /> rvcren APPUGA710N -0R RIGHT-OF•WAY US! �F�IT E�p � , �'� <br /> � ` � " t �� . � ? � E" <br /> ,�' ��V�� 1 I . 'j ..� .� �� <br /> i � , � <br /> `-� �,Gr�� ��`�""/_"iNr-G' t��fLi'f'�,� I� <br /> EVFREr7T,IWASHSNGTON � jpEflMITNO. ��—�'C�Z <br /> The Undersigned /������ �� C�/Li�/L/�i� <br /> Hereby applies tor pennission to�.:5j (c 3 � L71Zi L/CL✓1� <br /> c�-. , ,± `_ " �_ <br /> At the following location__ Zn��� �'_.�L�j`/ <br /> r <br /> SKETCH <br /> (Work to be done) <br /> � ,,� ;_-. ._.._. <br /> _ �_ _ ; <br /> j - �- -� . , - - - - ----� -_ . <br /> - �,`- , ex�sr ���� <br /> �fn/ � <br /> �3 ' . <br /> ��j , <br /> , <br /> �' - - ----- --- - � - I <br /> � zzo� ; <br /> , <br /> � Z I <br /> � ` \ <br /> (` _ _ <br /> ��� � ��,.: <br /> � � � . : <br /> - , - -- - ���1 __. -- - l <br /> ``�.J � I <br /> �`' �1� �-l� � <br /> , ���_ - ���- -_ <br /> � <br /> ,, � � : <br /> ��9;�� ��, <br /> �/Qe � <br /> DRWEWAY SECTiON � The undersigned owner hereby a9rees to hold and <br /> NO SCALE —�.I save harmless the City ot Everett from any and all <br /> F I ^ claims lor damayes that may arise because of installa- <br /> }i" L�P i 1y/ tion and maintenance of the improvement here[o <br /> L3p��j T �� �3��.� 1 applied for and (uriher agrees to remove same upon <br /> - � notice from the City and to replace.public property <br /> damaged there6yC i � � �• <br /> /:��fs: v � ,\ � ' �U ,-t � <br /> SignAiuJe of Ap mant �= <br /> �; a �� ,��-��G��,�,f.< < j <br /> _ . � �. � t.i�.. ,. i i�r Addrnss <br /> 13L PpS�i LU OIJ JOL'SITE. � ; �j , �7(?� � <br /> � CALL EfJGiNE[RING D[PL 259�C^�,t 1 � Telepbone Number <br /> ; in;���,. �� ///-3� ?5_ <br /> � 13f I [Jfi[ CO(JS�i RUCIIGfJ' Date —� <br /> CHECk US i � ��' � <br /> Water Valve Fee <br /> Drainage Dept. Approvals <br /> Curb&Gutter Engineers - <br /> Sidewalk <br /> Water �, � �J ��- <br /> Street - _j.�„�'� <br /> Inspector's Signature �� Commumca i `'�. ----.'�-- /� _/ �_ <br /> Traffic� __f� /� /�� <br /> �� <br /> � - 4777Jf.tit_-z� Pianni�g � <br /> fJatc /✓1�.�6 • _ <br /> Remarks ' <br /> Note: Originat to Customer � <br /> 7 CopY to File � . � <br /> i Copy to Inspecroi � � � Approved by <br /> DatcApproved -----�----�-' - <br />