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APPLICATION FOR RIGHT-OF-WAY USE PERMIT •��7 /� � <br /> evcrett - • �OJ 1 `F �c��, � . <br /> " 'YD ` ( ' <br /> , � n' <br /> j ` ; <br /> �: l- � '� <br /> CITY ENGINEERS �; <br /> EVERETT,WASHINGTON PERMITNO. �G-Z� <br /> , y�� <br /> TheUndersigned `�l/�- °-.-L. �-- '� '� .. - . -- _ . .'/ .'' ,, <br /> Herebyappliesforpertnissionto �=���t�`�T � '�Nr='��� � "5/+f%�� � �� <br /> ` i 'I /�fJ % / C J� / _. �';G " Ff?I/ / I d %i !'/ �. <br /> At the foliawing locati n G� 'I y <br /> r=lc�G�//� � '. ,�. <br /> SKETCH CGL,/,�Y ��lY C. �YC��E ' � � <br /> (Work to be done) , ' . . � <br /> �i1��i '�[.L .`?�G%�C �"�ii n� II . <br /> � i <br /> � ;%� i � �l �� <br /> /� i � , , � � � <br /> / � � � ; � � <br /> � ; . I�. � <br /> - : , � � ,. <br /> _ . So. , . � _ _ � <br /> , - �-.� <br /> � �e�E:�`fr.v�FK <br /> s��ccc-ys� � <br /> Y✓Ir 7..:�.;^: ..� � <br /> ' Ef1 -F%e5T t3���K� . <br /> � � - � <br /> _ l \� l ( ' I <br /> V <br /> ' '� <br /> � <br /> � � � 1y <br /> � <br /> I-. v <br /> N,T.5- � l� <br /> '� `�_���� � ; <br /> , w <br /> i �,. <br /> DRrvEwAY SECTION ` The undersigned owner hereby agrees to hoid and � <br /> NO SCALE - " kave harmless the City of Everett irom any and all <br /> r=}--�_ _ --=-'--'{ � j-claims for damages that may arise because ot installa� <br /> V7" � tion and maintenance of the improvement here <br /> I" LIP /�L ��'��ypplied for and turther agree,to rem eame �on <br /> I..3�':'.—. -�-30�.� �` �/ otice from tlie City and to.-eplace ublic p erty <br /> � A.� amaged ther y. {� <br /> ,r . / ! - l0 t. '..v�. <br /> �� Signature of�pp j ant <br /> }, e5 �a/5 <c � ' <br /> COPY OF THIS APPLICATION TO `�� Address ' <br /> BE POSTED ON JOBSITE. `�� ���� <br /> CP.LL GNf,lidE[RING DEPT.259�8811 � Telephonc Number , <br /> � -5 - 7� — I <br /> ^4 fr'-�ii3`; i;.`I-iil�,F C,ONSTRUCTION� � Date i <br /> ----- �_. f _ � <br /> CHECK UST FeC —� �' <br /> Water Valve D � p , als / i <br /> Drainage �(.`� ,, � / ��'/ I <br /> Curb&Guiter � l�•'' ' Engineer �-F-(O <br /> Sidewalk . Water ,,. �n p �Qir-��-�J,� �, <br /> , Street �� ' �_ ' <br /> .. �_-.. .^ /f t� `. .�`'.-- Communicati� a • I, <br /> Inspector'sSigna re Traffic �< ' � �� <br /> r � .. ... i �, Plannin9` � � � /J � I <br /> a[e �- ' �f 5� u-e ° S✓t � I <br /> I <br /> — I <br /> Remurks � I . <br /> Natc: Origina� to Customer <br /> 1 Copy to File 10374 � <br /> i Copy to Inspector Approved by � <br /> . 2�� 7G ' <br /> Date APProved I � <br />